Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.25 / $2,678.00 / $6,915.00	Facility		$118.25	$2,678.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $127.60 / $318.08	Professional		$60.55	$127.60	$318.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.45 / $87.45 / $87.45	Professional	50	$87.45	$87.45	$87.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $241.27 / $274.20	Professional		$107.74	$241.27	$274.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $839.59 / $1,697.15	Facility		$434.00	$839.59	$1,697.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $102.11 / $205.76	Professional		$59.96	$102.11	$205.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.94 / $153.16 / $308.64	Professional	50	$89.94	$153.16	$308.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $126.32 / $182.04	Facility		$78.95	$126.32	$182.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $2,500.00	Facility		$105.08	$105.08	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $147.83 / $314.89	Professional		$81.81	$147.83	$314.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $156.01 / $424.56	Professional		$75.44	$156.01	$424.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $129.94 / $239.79	Professional		$73.77	$129.94	$239.79
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 $103.86 / $178.56 / $329.28	Professional		$103.86	$178.56	$329.28