Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,162.28 / $7,244.36	Facility		$891.25	$3,162.28	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $3,548.13 / $5,754.40	Facility	50	$1,445.44	$3,548.13	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $724.44	Professional		$257.04	$389.05	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $467.74 / $851.14	Professional	50	$275.42	$467.74	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $257.04	Professional		$123.03	$218.78	$257.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $331.13 / $660.69	Professional	50	$165.96	$331.13	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $9,772.37	Facility		$1,230.27	$3,467.37	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $645.65	Professional		$302.00	$457.09	$645.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $691.83 / $977.24	Professional	50	$446.68	$691.83	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $9,772.37	Facility		$4,168.69	$7,244.36	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $741.31	Professional		$316.23	$457.09	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $1,348.96	Professional		$229.09	$288.40	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	22	$616.60	$616.60	$616.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $26,915.35	Facility		$16,218.10	$16,218.10	$26,915.35
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 $269.15 / $398.11 / $660.69	Professional		$269.15	$398.11	$660.69