Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $4,570.88 / $7,413.10	Facility		$77.62	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $154.88	Professional		$51.29	$85.11	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $186.21 / $186.21	Professional	50	$107.15	$186.21	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $128.82	Professional		$58.88	$67.61	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,089.30 / $3,548.13	Facility		$741.31	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $123.03	Professional		$48.98	$79.43	$123.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $117.49 / $177.83	Professional	50	$74.13	$117.49	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $66.07 / $69.18	Facility		$46.77	$66.07	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Professional		$85.11	$85.11	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $158.49	Professional		$52.48	$87.10	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $398.11	Professional		$48.98	$95.50	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $102.33	Professional		$63.10	$85.11	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,348.96 / $2,454.71	Facility		$107.15	$1,348.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $131.83	Professional		$52.48	$79.43	$131.83