Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.28 / $4,306.00 / $6,915.00	Facility		$582.28	$4,306.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.13 / $1,219.13 / $3,643.96	Professional		$308.13	$1,219.13	$3,643.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,931.64 / $3,931.64 / $3,931.64	Professional	50	$3,931.64	$3,931.64	$3,931.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.20 / $1,354.59 / $1,842.16	Professional		$393.20	$1,354.59	$1,842.16
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $3,434.15 / $3,434.15 / $3,434.15	Professional	50	$3,434.15	$3,434.15	$3,434.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,518.00 / $4,025.22 / $6,315.83	Facility		$1,518.00	$4,025.22	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.12 / $1,040.66 / $3,624.37	Professional		$361.12	$1,040.66	$3,624.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $541.67 / $1,560.99 / $5,436.55	Professional	50	$541.67	$1,560.99	$5,436.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.54 / $380.09 / $603.11	Facility		$268.54	$380.09	$603.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,197.96 / $1,202.15 / $2,073.67	Professional		$1,197.96	$1,202.15	$2,073.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.71 / $1,604.72 / $3,437.15	Professional		$380.71	$1,604.72	$3,437.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $1,091.44 / $5,112.92	Professional		$322.25	$1,091.44	$5,112.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $297.63 / $992.22 / $1,966.84	Professional		$297.63	$992.22	$1,966.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,268.00 / $8,554.00	Facility		$1,800.00	$6,268.00	$8,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.46 / $2,398.87 / $3,676.05	Professional		$1,402.46	$2,398.87	$3,676.05