Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.90 / $2,221.00 / $6,858.00	Facility		$116.90	$2,221.00	$6,858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $111.43 / $236.83	Professional		$51.79	$111.43	$236.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $445.31 / $448.17 / $472.79	Professional	50	$445.31	$448.17	$472.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $49.32 / $108.50	Professional		$41.93	$49.32	$108.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $73.98 / $73.98 / $73.98	Professional	50	$73.98	$73.98	$73.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $94.78 / $164.52	Professional		$51.58	$94.78	$164.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.37 / $142.16 / $246.78	Professional	50	$77.37	$142.16	$246.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $76.45 / $156.62	Facility		$54.18	$76.45	$156.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $128.47 / $138.36	Professional		$99.43	$128.47	$138.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $640.00	Facility		$87.90	$87.90	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $132.60 / $260.56	Professional		$71.19	$132.60	$260.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $131.57 / $317.08	Professional		$64.12	$131.57	$317.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $109.64 / $202.84	Professional		$65.86	$109.64	$202.84
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $157.10 / $278.12	Professional		$95.19	$157.10	$278.12