Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,754.23 / $7,413.10	Facility		$79.43	$2,754.23	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $602.56 / $1,995.26 / $2,187.76	Facility	50	$602.56	$1,995.26	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $204.17	Professional		$53.70	$91.20	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $190.55 / $380.19	Professional	50	$89.13	$190.55	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $154.88	Professional		$74.13	$91.20	$154.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $97.72 / $234.42	Professional	50	$50.12	$97.72	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $169.82	Professional		$69.18	$109.65	$169.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $165.96 / $251.19	Professional	50	$104.71	$165.96	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $104.71	Facility		$63.10	$75.86	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $102.33	Professional		$67.61	$89.13	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $645.65	Facility		$48.98	$91.20	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $199.53	Professional		$69.18	$117.49	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $416.87	Professional		$54.95	$104.71	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $123.03	Professional		$77.62	$109.65	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $169.82	Professional		$56.23	$95.50	$169.82