Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.21 / $2,297.00 / $6,726.00	Facility		$189.21	$2,297.00	$6,726.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.50 / $2,410.50 / $5,208.75	Facility	50	$1,047.50	$2,410.50	$5,208.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $177.66 / $525.55	Professional		$58.03	$177.66	$525.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.43 / $150.65 / $759.26	Professional	50	$83.43	$150.65	$759.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $205.26 / $487.75	Professional		$106.53	$205.26	$487.75
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $307.89 / $731.63	Professional	50	$91.74	$307.89	$731.63
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 $58.86 / $90.46 / $178.54	Professional		$58.86	$90.46	$178.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $88.29 / $135.69 / $267.81	Professional	50	$88.29	$135.69	$267.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $86.18 / $173.21	Facility		$61.25	$86.18	$173.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.99 / $264.33 / $284.66	Professional		$209.99	$264.33	$284.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $2,500.00	Facility		$100.61	$100.61	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $180.19 / $493.47	Professional		$76.09	$180.19	$493.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $266.45 / $1,392.22	Professional		$68.86	$266.45	$1,392.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,125.00 / $4,125.00 / $5,938.87	Facility		$4,125.00	$4,125.00	$5,938.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $339.32 / $418.78	Professional		$85.78	$339.32	$418.78
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 $150.88 / $269.51 / $458.00	Professional		$150.88	$269.51	$458.00