Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $3,043.00 / $6,915.00	Facility		$49.83	$3,043.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $54.22 / $104.40	Professional		$34.36	$54.22	$104.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.75 / $189.42 / $212.75	Professional	50	$74.75	$189.42	$212.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $68.69 / $102.03	Professional		$52.66	$68.69	$102.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $56.67 / $56.67 / $153.05	Professional	50	$56.67	$56.67	$153.05
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 $32.85 / $53.21 / $102.91	Professional		$32.85	$53.21	$102.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.27 / $79.81 / $154.36	Professional	50	$49.27	$79.81	$154.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $48.84 / $97.79	Facility		$34.68	$48.84	$97.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $58.90 / $63.43	Professional		$45.62	$58.90	$63.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $57.28 / $2,500.00	Facility		$30.71	$57.28	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $66.18 / $117.34	Professional		$43.17	$66.18	$117.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $61.20 / $222.00	Professional		$38.65	$61.20	$222.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $56.84 / $89.23	Professional		$42.21	$56.84	$89.23
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $70.89 / $123.01	Professional		$42.33	$70.89	$123.01