Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $2,800.00 / $6,915.00	Facility		$59.85	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $72.33 / $136.34	Professional		$50.18	$72.33	$136.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $184.88 / $184.88 / $184.88	Professional	50	$184.88	$184.88	$184.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $101.35 / $137.94	Professional		$45.76	$101.35	$137.94
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 $48.94 / $69.45 / $128.60	Professional		$48.94	$69.45	$128.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.41 / $104.19 / $192.90	Professional	50	$73.41	$104.19	$192.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $66.34 / $187.01	Facility		$47.98	$66.34	$187.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $84.97 / $84.97	Professional		$84.97	$84.97	$84.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $89.89 / $159.59	Professional		$54.80	$89.89	$159.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $91.55 / $396.38	Professional		$55.18	$91.55	$396.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $85.67 / $130.78	Professional		$55.07	$85.67	$130.78
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 $66.09 / $90.44 / $154.86	Professional		$66.09	$90.44	$154.86