Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.83 / $2,259.50 / $6,915.00	Facility		$270.83	$2,259.50	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $410.73 / $1,145.74	Professional		$112.73	$410.73	$1,145.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $570.69 / $593.52 / $612.61	Professional	50	$570.69	$593.52	$612.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $1,146.20 / $1,146.20	Professional		$234.18	$1,146.20	$1,146.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $859.65 / $859.65 / $859.65	Professional	50	$859.65	$859.65	$859.65
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 $140.19 / $392.15 / $1,299.68	Professional		$140.19	$392.15	$1,299.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $210.31 / $588.22 / $1,949.53	Professional	50	$210.31	$588.22	$1,949.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.62 / $220.23 / $315.02	Facility		$136.62	$220.23	$315.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $325.00 / $1,289.79	Professional		$139.66	$325.00	$1,289.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $579.07 / $4,079.27	Professional		$124.52	$579.07	$4,079.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $512.26 / $974.27	Professional		$119.34	$512.26	$974.27
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 $487.65 / $828.99 / $1,573.83	Professional		$487.65	$828.99	$1,573.83