Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,513.56 / $6,025.60	Facility		$467.74	$1,513.56	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $2,398.83 / $8,128.31	Facility	50	$912.01	$2,398.83	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $323.59	Professional		$125.89	$194.98	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $245.47	Professional		$125.89	$162.18	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $263.03	Professional		$147.91	$208.93	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $269.15	Facility		$165.96	$190.55	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $323.59	Professional		$169.82	$169.82	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $354.81	Professional		$169.82	$229.09	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $281.84	Professional		$128.82	$165.96	$281.84
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $9.33 / $9.33 / $9.33	Professional	80	$9.33	$9.33	$9.33
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $4.68 / $4.68 / $4.68	Professional	AS	$4.68	$4.68	$4.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $331.13	Professional		$138.04	$234.42	$331.13
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 $144.54 / $199.53 / $323.59	Professional		$144.54	$199.53	$323.59