Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,019.95 / $7,413.10	Facility		$257.04	$3,019.95	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $251.19 / $812.83 / $1,905.46	Facility	50	$251.19	$812.83	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $186.21	Professional		$50.12	$89.13	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $223.87 / $380.19	Professional	50	$114.82	$223.87	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $190.55	Professional		$83.18	$91.20	$190.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $123.03 / $281.84	Professional	50	$70.79	$123.03	$281.84
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 $63.10 / $89.13 / $141.25	Professional		$63.10	$89.13	$141.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $134.90 / $213.80	Professional	50	$97.72	$134.90	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $120.23	Professional		$81.28	$89.13	$120.23
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 $63.10 / $109.65 / $199.53	Professional		$63.10	$109.65	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $120.23 / $724.44	Professional		$52.48	$120.23	$724.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $7,079.46 / $7,079.46	Facility		$6,760.83	$7,079.46	$7,079.46
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 $50.12 / $91.20 / $186.21	Professional		$50.12	$91.20	$186.21