Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.10 / $2,221.00 / $6,726.00	Facility		$177.10	$2,221.00	$6,726.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,635.00 / $3,635.00 / $3,635.00	Facility	50	$3,635.00	$3,635.00	$3,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $125.95 / $353.41	Professional		$65.86	$125.95	$353.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $146.88 / $159.41	Professional		$57.27	$146.88	$159.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,476.23 / $5,240.56	Facility		$775.91	$2,476.23	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $169.55 / $307.67	Professional		$92.85	$169.55	$307.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $116.15 / $186.56	Facility		$96.12	$116.15	$186.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $206.02 / $355.04	Professional		$204.06	$206.02	$355.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $178.54 / $370.12	Professional		$98.63	$178.54	$370.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $180.74 / $292.23	Professional		$91.38	$180.74	$292.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $162.08 / $312.55	Professional		$88.71	$162.08	$312.55
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 $127.94 / $190.98 / $352.84	Professional		$127.94	$190.98	$352.84