Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,754.23 / $5,888.44	Facility		$288.40	$2,754.23	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	50	$3,311.31	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $204.17 / $524.81	Professional		$67.61	$204.17	$524.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $275.42 / $741.31	Professional	50	$229.09	$275.42	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $169.82 / $446.68	Professional		$58.88	$169.82	$446.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $457.09	Professional	50	$338.84	$338.84	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $338.84	Professional		$74.13	$120.23	$338.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $181.97 / $512.86	Professional	50	$114.82	$181.97	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $93.33	Facility		$85.11	$89.13	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $275.42	Professional		$208.93	$218.78	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $177.83 / $457.09	Professional		$77.62	$177.83	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $263.03 / $537.03	Professional		$67.61	$263.03	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $501.19	Professional		$389.05	$389.05	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,511.89	Facility		$354.81	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $194.98 / $426.58	Professional		$72.44	$194.98	$426.58