Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,592.00 / $6,915.00	Facility		$1,194.00	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $1,587.80 / $3,089.82	Professional		$158.88	$1,587.80	$3,089.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional	50	$3,000.00	$3,000.00	$3,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,112.54 / $1,279.43 / $2,183.96	Professional		$1,112.54	$1,279.43	$2,183.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $930.66 / $3,062.61	Professional		$196.97	$930.66	$3,062.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $295.45 / $1,396.00 / $4,593.91	Professional	50	$295.45	$1,396.00	$4,593.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $311.64 / $364.28	Facility		$264.89	$311.64	$364.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.63 / $948.55 / $3,460.79	Professional		$193.63	$948.55	$3,460.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $1,364.98 / $3,536.00	Professional		$176.39	$1,364.98	$3,536.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $1,178.84 / $2,324.75	Professional		$165.28	$1,178.84	$2,324.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,136.00 / $5,352.00	Facility		$1,269.00	$3,136.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,716.41 / $2,493.41 / $4,008.33	Professional		$1,716.41	$2,493.41	$4,008.33