Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,715.35 / $7,943.28	Facility		$234.42	$3,715.35	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $4,265.80 / $11,748.98	Facility	50	$1,412.54	$4,265.80	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $467.74	Professional		$102.33	$199.53	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $389.05 / $912.01	Professional	50	$151.36	$389.05	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $398.11	Professional		$102.33	$190.55	$398.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $275.42 / $588.84	Professional	50	$151.36	$275.42	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,089.30 / $3,548.13	Facility		$794.33	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $288.40	Professional		$125.89	$181.97	$288.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $269.15 / $426.58	Professional	50	$199.53	$269.15	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $204.17	Facility		$123.03	$147.91	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $257.04	Professional		$169.82	$218.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $645.65 / $660.69	Facility		$177.83	$645.65	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $426.58	Professional		$125.89	$229.09	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $1,548.82	Professional		$109.65	$251.19	$1,548.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $6,760.83	Facility		$3,019.95	$4,570.88	$6,760.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $346.74	Professional		$151.36	$275.42	$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 $102.33 / $194.98 / $436.52	Professional		$102.33	$194.98	$436.52