Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $53.53 / $458.28	Facility		$18.18	$53.53	$458.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $30.45 / $64.81	Professional		$18.18	$30.45	$64.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.45 / $97.22 / $101.93	Professional	50	$31.45	$97.22	$101.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $46.00 / $52.68	Professional		$25.99	$46.00	$52.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $50.68 / $72.38 / $83.15	Professional	50	$50.68	$72.38	$83.15
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 $17.28 / $29.70 / $57.89	Professional		$17.28	$29.70	$57.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $25.92 / $44.55 / $86.83	Professional	50	$25.92	$44.55	$86.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $24.84 / $55.16	Facility		$18.22	$24.84	$55.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $33.40 / $35.97	Professional		$25.91	$33.40	$35.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $30.07 / $2,500.00	Facility		$19.14	$30.07	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $43.97 / $81.25	Professional		$23.35	$43.97	$81.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $33.79 / $74.22	Professional		$20.32	$33.79	$74.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $29.64 / $48.56	Professional		$20.81	$29.64	$48.56
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 $26.28 / $46.72 / $70.18	Professional		$26.28	$46.72	$70.18