Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.66 / $2,614.34 / $6,915.00	Facility		$177.66	$2,614.34	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.66 / $127.61 / $204.72	Facility	52	$47.66	$127.61	$204.72
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.05 / $51.04 / $81.89	Facility	53	$19.05	$51.04	$81.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $219.03 / $513.39	Professional		$81.63	$219.03	$513.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $147.53 / $458.61	Professional		$79.45	$147.53	$458.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,600.00 / $6,097.67	Facility		$775.91	$2,600.00	$6,097.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $264.20 / $514.28	Professional		$109.65	$264.20	$514.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $112.88 / $165.81	Facility		$81.40	$112.88	$165.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.96 / $247.95 / $427.99	Professional		$245.96	$247.95	$427.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $279.33 / $577.54	Professional		$133.31	$279.33	$577.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $221.86 / $1,068.79	Professional		$97.68	$221.86	$1,068.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $211.77 / $413.69	Professional		$89.23	$211.77	$413.69
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,559.00 / $6,000.00	Facility		$772.00	$2,559.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.10 / $339.61 / $554.53	Professional		$219.10	$339.61	$554.53