Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $3,391.00 / $6,915.00	Facility		$91.20	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $91.20 / $192.72	Professional		$65.31	$91.20	$192.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $370.07 / $370.07 / $381.46	Professional	50	$370.07	$370.07	$381.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.62 / $185.62 / $185.62	Professional		$185.62	$185.62	$185.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $103.53 / $193.06	Professional		$66.17	$103.53	$193.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $99.25 / $155.29 / $286.83	Professional	50	$99.25	$155.29	$286.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.33 / $139.72 / $201.36	Facility		$87.33	$139.72	$201.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $115.70 / $2,500.00	Facility		$63.19	$115.70	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $119.88 / $218.61	Professional		$78.45	$119.88	$218.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $116.00 / $296.00	Professional		$79.59	$116.00	$296.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $131.16 / $165.07	Professional		$102.59	$131.16	$165.07
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $115.88 / $210.77	Professional		$76.69	$115.88	$210.77