Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $3,548.13 / $7,413.10	Facility		$104.71	$3,548.13	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $239.88 / $1,698.24 / $1,819.70	Facility	50	$239.88	$1,698.24	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $263.03	Professional		$52.48	$102.33	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $245.47 / $467.74	Professional	50	$83.18	$245.47	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $302.00 / $309.03	Professional	50	$141.25	$302.00	$309.03
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 $75.86 / $134.90 / $218.78	Professional		$75.86	$134.90	$218.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $199.53 / $331.13	Professional	50	$114.82	$199.53	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $645.65 / $660.69	Facility		$93.33	$645.65	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $269.15	Professional		$81.28	$147.91	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $436.52	Professional		$57.54	$125.89	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $158.49	Professional		$79.43	$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 $60.26 / $114.82 / $234.42	Professional		$60.26	$114.82	$234.42