Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $1,348.96 / $1,659.59	Facility		$19.05	$1,348.96	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $44.67	Professional		$10.96	$19.95	$44.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	50	$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $34.67	Professional		$17.38	$17.38	$34.67
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 $14.45 / $28.84 / $56.23	Professional		$14.45	$28.84	$56.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $21.88 / $43.65 / $85.11	Professional	50	$21.88	$43.65	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $2,511.89	Facility		$19.05	$19.05	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $29.51 / $56.23	Professional		$14.13	$29.51	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.91 / $89.13	Professional		$10.96	$22.91	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $33.11	Professional		$16.60	$29.51	$33.11
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 $12.02 / $24.55 / $52.48	Professional		$12.02	$24.55	$52.48