Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.57 / $2,964.00 / $6,900.00	Facility		$85.57	$2,964.00	$6,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,214.15 / $10,214.15 / $10,214.15	Facility	50	$10,214.15	$10,214.15	$10,214.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $255.85 / $585.09	Professional		$47.13	$255.85	$585.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $902.22 / $904.97	Professional	50	$372.08	$902.22	$904.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $243.76 / $673.99	Professional		$61.39	$243.76	$673.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.08 / $365.64 / $1,043.55	Professional	50	$92.08	$365.64	$1,043.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $97.22 / $139.38	Facility		$60.45	$97.22	$139.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $155.32 / $677.47	Professional		$57.95	$155.32	$677.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $274.39 / $1,936.73	Professional		$55.10	$274.39	$1,936.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $268.64 / $632.00	Professional		$51.55	$268.64	$632.00
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.85 / $434.79 / $769.53	Professional		$288.85	$434.79	$769.53