Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $268.80 / $1,571.00	Facility		$63.12	$268.80	$1,571.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $248.71 / $248.71 / $248.71	Facility	50	$248.71	$248.71	$248.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $66.20 / $153.58	Professional		$39.52	$66.20	$153.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $399.81 / $399.81 / $399.81	Professional	50	$399.81	$399.81	$399.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $89.80 / $125.26	Professional		$37.65	$89.80	$125.26
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 $40.26 / $59.68 / $107.09	Professional		$40.26	$59.68	$107.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.39 / $91.08 / $160.63	Professional	50	$60.39	$91.08	$160.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.80 / $58.07 / $114.78	Facility		$41.80	$58.07	$114.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $79.42 / $85.53	Professional		$62.16	$79.42	$85.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $68.02 / $2,500.00	Facility		$68.02	$68.02	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $79.36 / $133.12	Professional		$46.52	$79.36	$133.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $80.51 / $167.24	Professional		$48.06	$80.51	$167.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.90 / $1,261.90 / $1,750.00	Facility		$1,261.90	$1,261.90	$1,750.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $72.98 / $124.58	Professional		$42.54	$72.98	$124.58
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 $52.46 / $85.64 / $151.94	Professional		$52.46	$85.64	$151.94