Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.28 / $3,136.08 / $6,915.00	Facility		$171.28	$3,136.08	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,340.09 / $5,086.50 / $11,399.68	Facility	50	$1,340.09	$5,086.50	$11,399.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $171.28 / $457.14	Professional		$77.72	$171.28	$457.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $119.37 / $550.94 / $982.87	Professional	50	$119.37	$550.94	$982.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $151.13 / $325.00	Professional		$86.00	$151.13	$325.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $129.00 / $226.69 / $487.50	Professional	50	$129.00	$226.69	$487.50
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 $81.38 / $122.00 / $236.45	Professional		$81.38	$122.00	$236.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $122.07 / $183.00 / $353.79	Professional	50	$122.07	$183.00	$353.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $121.18 / $247.11	Facility		$86.37	$121.18	$247.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $189.32 / $203.88	Professional		$148.35	$189.32	$203.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $141.63 / $2,500.00	Facility		$141.63	$141.63	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $198.12 / $389.79	Professional		$90.74	$198.12	$389.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $191.49 / $861.34	Professional		$97.68	$191.49	$861.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,276.90 / $1,276.90 / $2,625.00	Facility		$1,276.90	$1,276.90	$2,625.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $159.44 / $284.58	Professional		$81.40	$159.44	$284.58
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $237.58 / $413.79	Professional		$141.41	$237.58	$413.79