Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.52 / $2,987.00 / $6,915.00	Facility		$158.52	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $210.56 / $449.64	Professional		$84.39	$210.56	$449.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $293.51 / $661.55 / $715.05	Professional	50	$293.51	$661.55	$715.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $329.21 / $357.60	Professional		$170.46	$329.21	$357.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $511.38 / $536.40 / $650.03	Professional	50	$511.38	$536.40	$650.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $214.56 / $401.12	Professional		$98.72	$214.56	$401.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $148.08 / $321.83 / $601.67	Professional	50	$148.08	$321.83	$601.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $103.88 / $164.61	Facility		$73.29	$103.88	$164.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.27 / $235.62 / $409.14	Professional		$234.27	$235.62	$409.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $217.42 / $432.42	Professional		$116.10	$217.42	$432.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $211.87 / $419.93	Professional		$87.95	$211.87	$419.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $196.90 / $362.66	Professional		$82.35	$196.90	$362.66
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 $178.65 / $250.11 / $452.19	Professional		$178.65	$250.11	$452.19