Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.22 / $552.61 / $1,180.20	Facility		$56.22	$552.61	$1,180.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $246.20 / $799.50 / $1,542.00	Facility	50	$246.20	$799.50	$1,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $79.02 / $181.97	Professional		$28.11	$79.02	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $193.44	Professional	50	$43.08	$137.72	$193.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $132.99 / $156.46	Professional		$99.97	$132.99	$156.46
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.37 / $71.00 / $234.68	Professional	50	$69.37	$71.00	$234.68
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 $23.31 / $41.75 / $75.88	Professional		$23.31	$41.75	$75.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.97 / $62.62 / $113.82	Professional	50	$34.97	$62.62	$113.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $37.36 / $82.95	Facility		$27.56	$37.36	$82.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $99.37 / $107.02	Professional		$78.68	$99.37	$107.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $2,500.00	Facility		$45.65	$45.65	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $80.73 / $167.54	Professional		$25.52	$80.73	$167.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $96.91 / $215.96	Professional		$29.42	$96.91	$215.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $101.29 / $150.38	Professional		$33.04	$101.29	$150.38
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 $73.05 / $119.15 / $194.95	Professional		$73.05	$119.15	$194.95