Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.49 / $3,460.00 / $7,421.00	Facility		$502.49	$3,460.00	$7,421.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,587.50 / $8,587.50 / $8,587.50	Facility	50	$8,587.50	$8,587.50	$8,587.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.30 / $496.96 / $873.55	Professional		$349.30	$496.96	$873.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.17 / $517.28 / $754.24	Professional		$345.17	$517.28	$754.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $522.30 / $947.91	Professional		$382.01	$522.30	$947.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $795.33 / $74,999.25	Facility		$654.41	$795.33	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.39 / $555.34 / $1,036.76	Professional		$366.39	$555.34	$1,036.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.22 / $604.13 / $3,043.70	Professional		$434.22	$604.13	$3,043.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $663.22 / $1,359.80	Professional		$546.05	$663.22	$1,359.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.36 / $536.29 / $1,013.90	Professional		$394.36	$536.29	$1,013.90