Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.09 / $2,595.00 / $6,915.00	Facility		$91.09	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $88.74 / $194.02	Professional		$48.89	$88.74	$194.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.53 / $356.16 / $383.96	Professional	50	$115.53	$356.16	$383.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $164.00 / $179.13	Professional		$87.72	$164.00	$179.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $104.93 / $182.48	Professional		$65.79	$104.93	$182.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.68 / $157.38 / $273.72	Professional	50	$98.68	$157.38	$273.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $76.51 / $154.71	Facility		$54.30	$76.51	$154.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $104.94 / $113.01	Professional		$81.20	$104.94	$113.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.86 / $89.02 / $2,500.00	Facility		$69.86	$89.02	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $102.25 / $190.61	Professional		$63.41	$102.25	$190.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $105.26 / $575.00	Professional		$58.60	$105.26	$575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $91.96 / $156.86	Professional		$54.67	$91.96	$156.86
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $118.67 / $201.37	Professional		$73.63	$118.67	$201.37