Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.76 / $2,927.00 / $5,063.00	Facility		$171.76	$2,927.00	$5,063.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,799.20 / $6,799.20 / $6,799.20	Facility	50	$6,799.20	$6,799.20	$6,799.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $146.97 / $375.99	Professional		$50.72	$146.97	$375.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $167.95 / $581.79 / $581.79	Professional	50	$167.95	$581.79	$581.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $63.23 / $241.04	Professional		$42.99	$63.23	$241.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $86.00 / $163.13	Professional		$52.71	$86.00	$163.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.06 / $130.19 / $245.29	Professional	50	$79.06	$130.19	$245.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $67.55 / $103.74	Facility		$56.21	$67.55	$103.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $172.49 / $319.01	Professional		$147.65	$172.49	$319.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $155.06 / $366.57	Professional		$61.11	$155.06	$366.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $181.19 / $392.81	Professional		$57.90	$181.19	$392.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $143.66 / $290.62	Professional		$49.40	$143.66	$290.62
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $207.23 / $358.91	Professional		$141.07	$207.23	$358.91