Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.89 / $3,460.00 / $6,915.00	Facility		$326.89	$3,460.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,656.50 / $2,656.50 / $4,353.00	Facility	50	$2,656.50	$2,656.50	$4,353.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.92 / $338.75 / $679.27	Professional		$217.92	$338.75	$679.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,291.43 / $1,291.43 / $1,291.43	Professional	50	$1,291.43	$1,291.43	$1,291.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $354.20 / $676.79	Professional		$286.17	$354.20	$676.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.33 / $409.14 / $714.03	Professional		$255.33	$409.14	$714.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $382.99 / $613.72 / $1,071.04	Professional	50	$382.99	$613.72	$1,071.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.63 / $413.69 / $494.96	Facility		$351.63	$413.69	$494.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.34 / $418.82 / $689.95	Professional		$237.34	$418.82	$689.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $358.49 / $451.41	Professional		$239.68	$358.49	$451.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.33 / $473.40 / $591.50	Professional		$324.33	$473.40	$591.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,218.00 / $5,352.00	Facility		$1,269.00	$3,218.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.17 / $444.92 / $722.26	Professional		$322.17	$444.92	$722.26