Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.08 / $2,950.00 / $6,915.00	Facility		$388.08	$2,950.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,622.50 / $5,814.72 / $5,814.72	Facility	50	$2,622.50	$5,814.72	$5,814.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $326.57 / $721.96	Professional		$229.90	$326.57	$721.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.77 / $348.99 / $584.91	Professional		$211.77	$348.99	$584.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,795.56 / $6,315.83	Facility		$989.09	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $439.61 / $736.23	Professional		$278.52	$439.61	$736.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $483.71 / $524.79 / $805.94	Facility		$483.71	$524.79	$805.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $1,942.85 / $1,942.85	Facility		$1,942.85	$1,942.85	$1,942.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.94 / $494.45 / $771.75	Professional		$304.94	$494.45	$771.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.73 / $380.09 / $501.58	Professional		$278.73	$380.09	$501.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $449.91 / $629.19	Professional		$282.14	$449.91	$629.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.26 / $451.11 / $724.74	Professional		$341.26	$451.11	$724.74