Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,548.13 / $7,413.10	Facility		$275.42	$3,548.13	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $2,398.83 / $4,168.69	Facility	50	$1,258.93	$2,398.83	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $645.65	Professional		$125.89	$263.03	$645.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $416.87 / $1,122.02	Professional	50	$288.40	$416.87	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $549.54	Professional		$114.82	$234.42	$549.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $354.81 / $831.76	Professional	50	$354.81	$354.81	$831.76
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 $151.36 / $213.80 / $389.05	Professional		$151.36	$213.80	$389.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $323.59 / $575.44	Professional	50	$234.42	$323.59	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $645.65 / $660.69	Facility		$223.87	$645.65	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $575.44	Professional		$147.91	$288.40	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $363.08 / $1,023.29	Professional		$138.04	$363.08	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $426.58	Professional		$186.21	$380.19	$426.58
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 $123.03 / $251.19 / $549.54	Professional		$123.03	$251.19	$549.54