Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,548.13 / $7,413.10	Facility		$724.44	$3,548.13	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	50	$3,090.30	$3,090.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $354.81	Professional		$75.86	$181.97	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $288.40 / $380.19	Professional	50	$134.90	$288.40	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $141.25 / $281.84	Professional		$17.78	$141.25	$281.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $316.23 / $316.23	Professional	50	$316.23	$316.23	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $186.21	Professional		$97.72	$123.03	$186.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $186.21 / $269.15	Professional	50	$154.88	$186.21	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $512.86 / $645.65	Facility		$141.25	$512.86	$645.65
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	52	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $478.63	Professional		$100.00	$213.80	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $239.88 / $645.65	Professional		$85.11	$239.88	$645.65
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $81.28 / $81.28 / $213.80	Professional	52	$81.28	$81.28	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $309.03 / $346.74	Professional		$117.49	$309.03	$346.74
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 $83.18 / $186.21 / $416.87	Professional		$83.18	$186.21	$416.87