Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $4,353.00 / $7,631.00	Facility		$594.91	$4,353.00	$7,631.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,819.85 / $2,819.85 / $4,656.75	Facility	50	$2,819.85	$2,819.85	$4,656.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $1,198.57 / $2,860.84	Professional		$290.45	$1,198.57	$2,860.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $259.29 / $259.29	Professional		$259.29	$259.29	$259.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,649.37 / $1,649.37 / $1,649.37	Professional	50	$1,649.37	$1,649.37	$1,649.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.69 / $1,123.21 / $2,919.15	Professional		$373.69	$1,123.21	$2,919.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $555.97 / $1,684.82 / $4,382.85	Professional	50	$555.97	$1,684.82	$4,382.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.43 / $588.74 / $690.24	Facility		$500.43	$588.74	$690.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.10 / $920.29 / $3,052.53	Professional		$369.10	$920.29	$3,052.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.24 / $1,364.03 / $5,067.00	Professional		$334.24	$1,364.03	$5,067.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.56 / $1,144.44 / $2,290.23	Professional		$310.56	$1,144.44	$2,290.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,280.72 / $1,905.77 / $3,241.43	Professional		$1,280.72	$1,905.77	$3,241.43