Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,445.44 / $7,079.46	Facility		$467.74	$1,445.44	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $1,513.56 / $2,238.72	Facility	50	$977.24	$1,513.56	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $66.07 / $186.21	Professional		$30.20	$66.07	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $58.88	Professional		$23.99	$39.81	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $128.82	Professional		$38.02	$60.26	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $45.71 / $67.61	Facility		$39.81	$45.71	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $114.82	Professional		$77.62	$89.13	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $186.21	Professional		$36.31	$67.61	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $263.03	Professional		$32.36	$91.20	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $128.82 / $162.18	Professional		$34.67	$128.82	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $151.36	Professional		$34.67	$63.10	$151.36