Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.70 / $3,635.00 / $7,887.60	Facility		$345.70	$3,635.00	$7,887.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $162.40 / $371.86	Professional		$71.11	$162.40	$371.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $277.41 / $318.12 / $513.26	Professional	50	$277.41	$318.12	$513.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $177.82 / $313.70	Professional		$122.27	$177.82	$313.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $173.27 / $320.62	Professional		$93.70	$173.27	$320.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $142.16 / $259.89 / $480.93	Professional	50	$142.16	$259.89	$480.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $101.31 / $162.35	Facility		$83.84	$101.31	$162.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.40 / $208.22 / $357.59	Professional		$206.40	$208.22	$357.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.23 / $1,518.23 / $1,518.23	Facility		$1,518.23	$1,518.23	$1,518.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $201.83 / $373.57	Professional		$104.38	$201.83	$373.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $186.30 / $714.00	Professional		$79.51	$186.30	$714.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $133.72 / $313.32	Professional		$105.52	$133.72	$313.32
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.02 / $242.85 / $405.28	Professional		$178.02	$242.85	$405.28