Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.10 / $3,391.00 / $6,915.00	Facility		$440.10	$3,391.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,095.00 / $4,821.00 / $5,561.14	Facility	50	$2,095.00	$4,821.00	$5,561.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.04 / $425.72 / $901.34	Professional		$213.04	$425.72	$901.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $276.33 / $608.05 / $1,970.71	Professional	50	$276.33	$608.05	$1,970.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.43 / $383.08 / $892.15	Professional		$348.43	$383.08	$892.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $500.50 / $522.64 / $813.72	Professional	50	$500.50	$522.64	$813.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.46 / $2,634.62 / $5,292.58	Facility		$990.46	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $337.82 / $559.70	Professional		$204.92	$337.82	$559.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $307.38 / $506.73 / $839.55	Professional	50	$307.38	$506.73	$839.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $278.57 / $569.75	Facility		$198.85	$278.57	$569.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.56 / $492.99 / $530.91	Professional		$388.56	$492.99	$530.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $326.12 / $1,272.50	Facility		$326.12	$326.12	$1,272.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $513.01 / $1,010.27	Professional		$279.20	$513.01	$1,010.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.20 / $500.75 / $3,381.34	Professional		$225.20	$500.75	$3,381.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $4,125.00	Facility		$2,363.12	$2,363.12	$4,125.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.83 / $620.63 / $771.99	Professional		$286.83	$620.63	$771.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.27 / $658.22 / $1,087.94	Professional		$366.27	$658.22	$1,087.94