Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,754.23 / $7,413.10	Facility		$724.44	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $204.17	Professional		$57.54	$97.72	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $186.21 / $416.87	Professional	50	$114.82	$186.21	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $204.17	Professional		$56.23	$107.15	$204.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $147.91 / $302.00	Professional	50	$81.28	$147.91	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $7,943.28	Facility		$1,000.00	$1,000.00	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $162.18	Professional		$66.07	$104.71	$162.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $154.88 / $245.47	Professional	50	$102.33	$154.88	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $2,511.89	Facility		$102.33	$102.33	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $213.80	Professional		$72.44	$120.23	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $776.25	Professional		$60.26	$125.89	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $173.78	Professional		$85.11	$138.04	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,511.89	Facility		$177.83	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $208.93	Professional		$60.26	$104.71	$208.93