Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $4,590.00 / $6,915.00	Facility		$113.99	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $129.76 / $238.23	Professional		$97.34	$129.76	$238.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.83 / $315.83 / $315.83	Professional	50	$315.83	$315.83	$315.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $194.50 / $207.18	Professional		$152.88	$194.50	$207.18
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 $98.55 / $137.97 / $275.08	Professional		$98.55	$137.97	$275.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.82 / $206.95 / $412.63	Professional	50	$147.82	$206.95	$412.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.97 / $206.54 / $74,999.25	Facility		$170.97	$206.54	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $157.28 / $275.64	Professional		$98.09	$157.28	$275.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $156.86 / $789.74	Professional		$112.75	$156.86	$789.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $174.97 / $355.27	Professional		$140.30	$174.97	$355.27
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 $108.90 / $142.66 / $248.47	Professional		$108.90	$142.66	$248.47