Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $95.57 / $148.19	Facility		$55.65	$95.57	$148.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $79.40 / $178.52	Professional		$55.34	$79.40	$178.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $624.02 / $624.02 / $624.02	Professional	50	$624.02	$624.02	$624.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $145.10 / $184.44	Professional		$70.65	$145.10	$184.44
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 $53.72 / $84.83 / $150.72	Professional		$53.72	$84.83	$150.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.58 / $127.24 / $226.09	Professional	50	$80.58	$127.24	$226.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $113.15 / $169.64	Facility		$93.89	$113.15	$169.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.08 / $92.20 / $2,500.00	Facility		$64.08	$92.20	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $106.49 / $186.33	Professional		$68.44	$106.49	$186.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $93.99 / $239.92	Professional		$64.45	$93.99	$239.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $92.46 / $135.58	Professional		$53.71	$92.46	$135.58
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 $66.56 / $116.91 / $184.26	Professional		$66.56	$116.91	$184.26