Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $3,548.13 / $7,413.10	Facility		$269.15	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $467.74	Professional		$79.43	$194.98	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $229.09 / $512.86	Professional	50	$190.55	$229.09	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $245.47 / $524.81	Professional		$93.33	$245.47	$524.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $707.95 / $724.44	Professional	50	$407.38	$707.95	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,548.13	Facility		$741.31	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $239.88	Professional		$93.33	$138.04	$239.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $208.93 / $354.81	Professional	50	$144.54	$208.93	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $645.65 / $660.69	Facility		$144.54	$645.65	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $478.63	Professional		$93.33	$208.93	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $288.40 / $660.69	Professional		$89.13	$288.40	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $323.59 / $363.08	Professional		$123.03	$323.59	$363.08
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 $77.62 / $181.97 / $398.11	Professional		$77.62	$181.97	$398.11