Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $501.19 / $1,174.90	Facility		$75.86	$501.19	$1,174.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $245.47 / $741.31 / $1,548.82	Facility	50	$245.47	$741.31	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $77.62 / $181.97	Professional		$25.12	$77.62	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $138.04 / $269.15	Professional	50	$38.02	$138.04	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $75.86 / $154.88	Professional		$22.39	$75.86	$154.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $112.20 / $234.42	Professional	50	$42.66	$112.20	$234.42
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 / $46.77 / $74.13	Professional		$22.39	$46.77	$74.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $70.79 / $112.20	Professional	50	$34.67	$70.79	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $51.29	Facility		$30.90	$37.15	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $114.82	Professional		$75.86	$97.72	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $89.13 / $2,511.89	Facility		$45.71	$89.13	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $74.13 / $173.78	Professional		$25.70	$74.13	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $93.33 / $446.68	Professional		$25.70	$93.33	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $131.83 / $151.36	Professional		$39.81	$131.83	$151.36
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 $23.44 / $69.18 / $169.82	Professional		$23.44	$69.18	$169.82