Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,398.83 / $7,079.46	Facility		$107.15	$2,398.83	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $2,238.72 / $4,168.69	Facility	50	$1,318.26	$2,238.72	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $239.88	Professional		$57.54	$104.71	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $389.05 / $512.86	Professional	50	$346.74	$389.05	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $489.78	Professional		$107.15	$190.55	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $154.88 / $302.00	Professional	50	$151.36	$154.88	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,548.13	Facility		$741.31	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $194.98	Professional		$74.13	$109.65	$194.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $165.96 / $288.40	Professional	50	$114.82	$165.96	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $512.86 / $645.65	Facility		$100.00	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $257.04	Professional		$74.13	$134.90	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $138.04 / $467.74	Professional		$61.66	$138.04	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $158.49	Professional		$85.11	$141.25	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,187.76 / $3,467.37	Facility		$426.58	$2,187.76	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $245.47	Professional		$61.66	$112.20	$245.47