Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $2,438.00 / $6,915.00	Facility		$76.40	$2,438.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $817.80 / $2,010.00 / $2,165.50	Facility	50	$817.80	$2,010.00	$2,165.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $84.04 / $182.05	Professional		$55.95	$84.04	$182.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $105.15 / $189.93 / $315.45	Professional	50	$105.15	$189.93	$315.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $68.91 / $137.82	Professional		$68.91	$68.91	$137.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $98.85 / $233.31 / $233.31	Professional	50	$98.85	$233.31	$233.31
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 $52.62 / $89.74 / $169.02	Professional		$52.62	$89.74	$169.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.93 / $134.61 / $253.53	Professional	50	$78.93	$134.61	$253.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $78.56 / $158.76	Facility		$55.47	$78.56	$158.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $88.91 / $95.75	Professional		$68.39	$88.91	$95.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $90.34 / $640.00	Facility		$49.39	$90.34	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $121.01 / $208.96	Professional		$68.38	$121.01	$208.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $98.17 / $214.66	Professional		$65.90	$98.17	$214.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $91.61 / $136.01	Professional		$65.16	$91.61	$136.01
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 $67.15 / $126.91 / $190.93	Professional		$67.15	$126.91	$190.93