Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,019.95 / $7,413.10	Facility		$691.83	$3,019.95	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	50	$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $501.19 / $933.25	Professional		$234.42	$501.19	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $891.25 / $1,659.59	Professional	50	$602.56	$891.25	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $416.87	Professional		$208.93	$234.42	$416.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
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 $302.00 / $575.44 / $812.83	Professional		$302.00	$575.44	$812.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $851.14 / $1,230.27	Professional	50	$467.74	$851.14	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $302.00	Facility		$199.53	$281.84	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Professional		$302.00	$302.00	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $5,011.87 / $9,772.37	Facility		$158.49	$5,011.87	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $616.60 / $1,023.29	Professional		$229.09	$616.60	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $3,890.45	Professional		$218.78	$346.74	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $501.19	Professional		$257.04	$309.03	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,041.74 / $3,467.37	Facility		$407.38	$2,041.74	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $933.25	Professional		$407.38	$588.84	$933.25