Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,691.53 / $7,079.46	Facility		$630.96	$2,691.53	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $3,235.94 / $4,570.88	Facility	50	$1,047.13	$3,235.94	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $194.98 / $588.84	Professional		$64.57	$194.98	$588.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $218.78 / $912.01	Professional	50	$97.72	$218.78	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $204.17 / $524.81	Professional		$74.13	$204.17	$524.81
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $363.08 / $776.25	Professional	50	$100.00	$363.08	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $7,943.28	Facility		$1,513.56	$1,513.56	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $194.98	Professional		$83.18	$117.49	$194.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $173.78 / $288.40	Professional	50	$128.82	$173.78	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $131.83	Facility		$77.62	$93.33	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $323.59	Professional		$218.78	$281.84	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $2,511.89	Facility		$114.82	$114.82	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $501.19	Professional		$85.11	$194.98	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $295.12 / $1,513.56	Professional		$67.61	$295.12	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,888.44 / $7,943.28	Facility		$4,168.69	$5,888.44	$7,943.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $354.81 / $446.68	Professional		$95.50	$354.81	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,511.89	Facility		$177.83	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $389.05	Professional		$70.79	$165.96	$389.05