Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.73 / $2,438.00 / $6,726.00	Facility		$198.73	$2,438.00	$6,726.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.50 / $3,270.40 / $3,270.40	Facility	50	$1,047.50	$3,270.40	$3,270.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $194.13 / $522.08	Professional		$69.27	$194.13	$522.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.59 / $206.81 / $903.73	Professional	50	$98.59	$206.81	$903.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $219.09 / $519.74	Professional		$82.08	$219.09	$519.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $175.84 / $181.52 / $470.46	Professional	50	$175.84	$181.52	$470.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $7,875.00 / $7,875.00	Facility		$1,500.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $103.38 / $205.24	Professional		$67.06	$103.38	$205.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.59 / $155.07 / $307.86	Professional	50	$100.59	$155.07	$307.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.58 / $97.87 / $197.60	Facility		$69.58	$97.87	$197.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $282.14 / $303.83	Professional		$223.98	$282.14	$303.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $2,500.00	Facility		$114.34	$114.34	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $207.07 / $525.80	Professional		$87.87	$207.07	$525.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $284.82 / $1,526.94	Professional		$78.22	$284.82	$1,526.94
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 $97.58 / $361.56 / $446.33	Professional		$97.58	$361.56	$446.33
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 $167.66 / $280.85 / $494.32	Professional		$167.66	$280.85	$494.32