Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,715.35 / $7,413.10	Facility		$676.08	$3,715.35	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $4,786.30 / $8,128.31	Facility	50	$2,398.83	$4,786.30	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $977.24	Professional		$186.21	$407.38	$977.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $660.69 / $1,949.84	Professional	50	$275.42	$660.69	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $891.25	Professional		$208.93	$354.81	$891.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $588.84 / $1,348.96	Professional	50	$295.12	$588.84	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $4,786.30	Facility		$1,071.52	$2,570.40	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $562.34	Professional		$263.03	$380.19	$562.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $575.44 / $851.14	Professional	50	$398.11	$575.44	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $371.54	Facility		$223.87	$269.15	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $562.34	Professional		$380.19	$489.78	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $645.65 / $1,258.93	Facility		$323.59	$645.65	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $954.99	Professional		$269.15	$489.78	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $537.03 / $3,388.44	Professional		$204.17	$537.03	$3,388.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,888.44 / $8,709.64	Facility		$4,168.69	$5,888.44	$8,709.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $776.25	Professional		$275.42	$616.60	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $851.14	Professional		$218.78	$426.58	$851.14