Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $1,096.50 / $6,726.00	Facility		$80.29	$1,096.50	$6,726.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $988.00 / $1,509.00 / $2,259.50	Facility	50	$988.00	$1,509.00	$2,259.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $71.34 / $186.07	Professional		$31.52	$71.34	$186.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $43.70 / $63.24	Professional		$26.37	$43.70	$63.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $68.34 / $166.26	Professional		$38.47	$68.34	$166.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $43.40 / $66.65	Facility		$36.17	$43.40	$66.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $90.56 / $168.23	Professional		$77.52	$90.56	$168.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Facility		$54.50	$54.50	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $75.17 / $193.55	Professional		$38.31	$75.17	$193.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $95.63 / $461.42	Professional		$37.20	$95.63	$461.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $89.10 / $150.55	Professional		$46.58	$89.10	$150.55
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $85.40 / $174.49	Professional		$43.48	$85.40	$174.49