Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,344.23 / $7,244.36	Facility		$331.13	$2,344.23	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $2,398.83 / $5,248.07	Facility	50	$1,047.13	$2,398.83	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $186.21 / $707.95	Professional		$57.54	$186.21	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $186.21 / $870.96	Professional	50	$81.28	$186.21	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $194.98 / $489.78	Professional		$58.88	$194.98	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $165.96 / $630.96	Professional	50	$89.13	$165.96	$630.96
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 $72.44 / $102.33 / $169.82	Professional		$72.44	$102.33	$169.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $151.36 / $251.19	Professional	50	$112.20	$151.36	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $114.82	Facility		$69.18	$83.18	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $302.00	Professional		$204.17	$263.03	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,511.89	Facility		$100.00	$100.00	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $467.74	Professional		$74.13	$177.83	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $281.84 / $1,380.38	Professional		$58.88	$281.84	$1,380.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,918.31 / $6,918.31	Facility		$4,168.69	$6,918.31	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $331.13 / $416.87	Professional		$85.11	$331.13	$416.87
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 $61.66 / $147.91 / $354.81	Professional		$61.66	$147.91	$354.81