Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $2,678.00 / $6,915.00	Facility		$93.91	$2,678.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $767.00 / $767.00 / $767.00	Facility	50	$767.00	$767.00	$767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $98.69 / $205.25	Professional		$58.70	$98.69	$205.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $357.57 / $357.57 / $357.57	Professional	50	$357.57	$357.57	$357.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $97.64 / $97.64	Professional		$97.64	$97.64	$97.64
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 $54.49 / $93.71 / $187.47	Professional		$54.49	$93.71	$187.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.73 / $140.56 / $281.20	Professional	50	$81.73	$140.56	$281.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.36 / $114.17 / $164.52	Facility		$71.36	$114.17	$164.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $94.98 / $640.00	Facility		$60.08	$94.98	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $140.13 / $262.27	Professional		$73.70	$140.13	$262.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $109.02 / $242.52	Professional		$68.37	$109.02	$242.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $94.87 / $154.16	Professional		$67.00	$94.87	$154.16
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $152.09 / $250.53	Professional		$78.51	$152.09	$250.53