Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.57 / $4,700.00 / $7,421.00	Facility		$505.57	$4,700.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.13 / $528.14 / $1,294.73	Professional		$297.13	$528.14	$1,294.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,108.04 / $2,108.04 / $2,108.04	Professional	50	$2,108.04	$2,108.04	$2,108.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $147.66 / $235.86 / $645.21	Professional	52	$147.66	$235.86	$645.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.03 / $350.50 / $706.38	Professional		$165.03	$350.50	$706.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.32 / $640.25 / $1,241.86	Professional		$353.32	$640.25	$1,241.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $529.99 / $960.37 / $1,862.80	Professional	50	$529.99	$960.37	$1,862.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.96 / $550.53 / $648.55	Facility		$467.96	$550.53	$648.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.55 / $802.11 / $1,252.56	Professional		$440.55	$802.11	$1,252.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.05 / $481.62 / $1,384.72	Professional		$314.05	$481.62	$1,384.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $484.16 / $804.82	Professional		$330.06	$484.16	$804.82
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 $456.97 / $709.92 / $1,309.27	Professional		$456.97	$709.92	$1,309.27