Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $3,391.00 / $6,915.00	Facility		$122.36	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $1,077.49 / $2,173.40	Professional		$54.41	$1,077.49	$2,173.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,578.36 / $1,881.89 / $2,501.92	Professional		$1,578.36	$1,881.89	$2,501.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $80.81 / $155.37	Professional		$45.79	$80.81	$155.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.69 / $121.23 / $233.05	Professional	50	$68.69	$121.23	$233.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $88.85 / $74,999.25	Facility		$74.88	$88.85	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $778.00 / $778.00	Facility		$778.00	$778.00	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $1,245.09 / $2,914.62	Professional		$69.44	$1,245.09	$2,914.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $1,335.53 / $4,279.00	Professional		$48.51	$1,335.53	$4,279.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $1,364.25 / $2,166.77	Professional		$55.25	$1,364.25	$2,166.77
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.18 / $1,857.62 / $2,865.43	Professional		$1,345.18	$1,857.62	$2,865.43