Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,754.23 / $7,079.46	Facility		$257.04	$2,754.23	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $2,398.83 / $6,760.83	Facility	50	$741.31	$2,398.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $316.23	Professional		$50.12	$97.72	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $173.78 / $512.86	Professional	50	$72.44	$173.78	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $162.18	Professional		$52.48	$85.11	$162.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $123.03 / $229.09	Professional	50	$70.79	$123.03	$229.09
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 $60.26 / $89.13 / $141.25	Professional		$60.26	$89.13	$141.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $131.83 / $208.93	Professional	50	$95.50	$131.83	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $100.00	Facility		$58.88	$70.79	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $123.03	Professional		$81.28	$104.71	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $2,511.89	Facility		$87.10	$87.10	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $199.53	Professional		$61.66	$109.65	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $724.44	Professional		$51.29	$117.49	$724.44
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $4.57 / $4.57 / $8.13	Professional	80	$4.57	$4.57	$8.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $9,332.54	Facility		$5,011.87	$6,165.95	$9,332.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $162.18	Professional		$72.44	$128.82	$162.18
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 $48.98 / $91.20 / $186.21	Professional		$48.98	$91.20	$186.21