Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.08 / $2,595.00 / $6,915.00	Facility		$149.08	$2,595.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $462.03 / $462.03 / $6,504.55	Facility	50	$462.03	$462.03	$6,504.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $229.86 / $498.17	Professional		$76.56	$229.86	$498.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $80.94 / $80.94	Professional		$80.94	$80.94	$80.94
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 $85.64 / $138.57 / $267.20	Professional		$85.64	$138.57	$267.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.08 / $167.16 / $197.67	Facility		$142.08	$167.16	$197.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $235.43 / $607.16	Professional		$95.85	$235.43	$607.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $334.65 / $651.84	Professional		$95.72	$334.65	$651.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $407.40 / $538.35	Professional		$101.12	$407.40	$538.35
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 $263.39 / $365.89 / $678.07	Professional		$263.39	$365.89	$678.07