Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $2,510.28 / $6,759.80	Facility		$101.30	$2,510.28	$6,759.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $803.50 / $1,695.50 / $5,092.47	Facility	50	$803.50	$1,695.50	$5,092.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $101.30 / $205.97	Professional		$58.35	$101.30	$205.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.83 / $181.58 / $423.40	Professional	50	$85.83	$181.58	$423.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $107.81 / $198.62	Professional		$73.13	$107.81	$198.62
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $92.81 / $161.72 / $297.92	Professional	50	$92.81	$161.72	$297.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,875.00 / $7,875.00	Facility		$1,000.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $90.57 / $171.93	Professional		$58.09	$90.57	$171.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.13 / $135.85 / $257.89	Professional	50	$87.13	$135.85	$257.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.93 / $87.19 / $166.40	Facility		$61.93	$87.19	$166.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $114.24 / $123.03	Professional		$88.47	$114.24	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $2,500.00	Facility		$101.68	$101.68	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $123.50 / $225.56	Professional		$72.39	$123.50	$225.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $115.82 / $778.25	Professional		$69.68	$115.82	$778.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,625.05 / $1,625.05 / $3,900.00	Facility		$1,625.05	$1,625.05	$3,900.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $139.88 / $176.04	Professional		$85.78	$139.88	$176.04
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 $83.44 / $151.63 / $248.13	Professional		$83.44	$151.63	$248.13