Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,511.89 / $6,456.54	Facility		$691.83	$2,511.89	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $3,548.13 / $6,918.31	Facility	50	$1,148.15	$3,548.13	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $676.08	Professional		$177.83	$323.59	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $281.84 / $1,023.29	Professional	50	$47.86	$281.84	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $208.93	Professional		$69.18	$154.88	$208.93
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $151.36 / $380.19	Professional	50	$120.23	$151.36	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $4,786.30	Facility		$1,000.00	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $758.58	Professional		$234.42	$467.74	$758.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $707.95 / $1,122.02	Professional	50	$354.81	$707.95	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $346.74	Facility		$218.78	$245.47	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $645.65	Professional		$354.81	$354.81	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $776.25	Professional		$239.88	$446.68	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $575.44	Professional		$158.49	$302.00	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,943.28 / $12,022.64	Facility		$6,456.54	$7,943.28	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $724.44	Professional		$194.98	$380.19	$724.44