Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,388.44 / $7,413.10	Facility		$794.33	$3,388.44	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $4,365.16 / $6,165.95	Facility	50	$1,659.59	$4,365.16	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $1,148.15	Professional		$190.55	$416.87	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $616.60 / $1,995.26	Professional	50	$269.15	$616.60	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $891.25	Professional		$177.83	$389.05	$891.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $524.81 / $1,348.96	Professional	50	$295.12	$524.81	$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 $257.04 / $380.19 / $549.54	Professional		$257.04	$380.19	$549.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $562.34 / $831.76	Professional	50	$389.05	$562.34	$831.76
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 / $575.44	Professional		$380.19	$489.78	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,258.93 / $1,348.96	Facility		$323.59	$1,258.93	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $977.24	Professional		$269.15	$478.63	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $549.54 / $3,311.31	Professional		$204.17	$549.54	$3,311.31
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 / $416.87 / $831.76	Professional		$218.78	$416.87	$831.76