Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,548.13 / $7,413.10	Facility		$181.97	$3,548.13	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $204.17 / $575.44 / $977.24	Facility	50	$204.17	$575.44	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $323.59	Professional		$100.00	$147.91	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $380.19 / $977.24	Professional	50	$165.96	$380.19	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $263.03	Professional		$66.07	$138.04	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $302.00 / $426.58	Professional	50	$194.98	$302.00	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $245.47	Professional		$125.89	$181.97	$245.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $275.42 / $371.54	Professional	50	$190.55	$275.42	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $158.49 / $218.78	Facility		$128.82	$158.49	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $186.21	Professional		$125.89	$162.18	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $186.21 / $2,511.89	Facility		$95.50	$186.21	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $323.59	Professional		$125.89	$186.21	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $1,071.52	Professional		$120.23	$181.97	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $288.40	Professional		$102.33	$158.49	$288.40