Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $4,126.50 / $6,915.00	Facility		$44.36	$4,126.50	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $49.58 / $95.41	Professional		$37.11	$49.58	$95.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $65.08 / $68.59	Professional		$65.08	$65.08	$68.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.61 / $97.61 / $97.61	Professional	50	$97.61	$97.61	$97.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $60.05 / $101.63	Professional		$34.79	$60.05	$101.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $52.18 / $90.07 / $152.44	Professional	50	$52.18	$90.07	$152.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $73.08 / $74,999.25	Facility		$61.01	$73.08	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $78.75 / $124.60	Professional		$42.58	$78.75	$124.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $55.50 / $285.72	Professional		$39.89	$55.50	$285.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $56.27 / $73.90	Professional		$31.59	$56.27	$73.90
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $73.54 / $118.47	Professional		$44.99	$73.54	$118.47