Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $2,595.00 / $6,915.00	Facility		$100.23	$2,595.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $237.25 / $1,695.50 / $3,904.31	Facility	50	$237.25	$1,695.50	$3,904.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $106.71 / $252.72	Professional		$57.46	$106.71	$252.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $300.91 / $300.91 / $300.91	Professional	50	$300.91	$300.91	$300.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $101.94 / $188.39	Professional		$53.86	$101.94	$188.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.79 / $152.91 / $282.58	Professional	50	$80.79	$152.91	$282.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.91 / $113.45 / $163.50	Facility		$70.91	$113.45	$163.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $657.54	Facility		$93.73	$93.73	$657.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $161.97 / $287.86	Professional		$85.71	$161.97	$287.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $123.68 / $275.14	Professional		$67.51	$123.68	$275.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $96.12 / $175.42	Professional		$67.40	$96.12	$175.42
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 $82.52 / $164.09 / $266.61	Professional		$82.52	$164.09	$266.61