Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $64.57 / $457.09	Facility		$28.18	$64.57	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $63.10	Professional		$16.98	$28.84	$63.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $89.13 / $102.33	Professional	50	$39.81	$89.13	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $54.95	Professional		$17.78	$30.20	$54.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $45.71 / $72.44	Professional	50	$45.71	$45.71	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $60.26	Professional		$22.39	$38.02	$60.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $57.54 / $89.13	Professional	50	$34.67	$57.54	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $33.88	Facility		$20.42	$24.55	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $38.90	Professional		$25.70	$33.11	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $2,511.89	Facility		$30.20	$30.20	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $67.61	Professional		$22.39	$39.81	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $141.25	Professional		$17.38	$33.11	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $47.86	Professional		$26.30	$42.66	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $61.66	Professional		$18.62	$34.67	$61.66