Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.50 / $2,382.00 / $6,915.00	Facility		$595.50	$2,382.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $787.16 / $787.16 / $787.16	Facility	50	$787.16	$787.16	$787.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.28 / $459.77 / $922.96	Professional		$232.28	$459.77	$922.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $663.69 / $801.80 / $1,481.87	Professional	50	$663.69	$801.80	$1,481.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.36 / $326.04 / $899.43	Professional		$217.36	$326.04	$899.43
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 $211.67 / $514.64 / $817.85	Professional		$211.67	$514.64	$817.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $317.50 / $771.97 / $1,226.77	Professional	50	$317.50	$771.97	$1,226.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.13 / $282.04 / $1,785.77	Facility		$208.13	$282.04	$1,785.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $301.14 / $301.14	Professional		$301.14	$301.14	$301.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.51 / $5,008.00 / $9,852.00	Facility		$158.51	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $629.37 / $1,029.50	Professional		$291.39	$629.37	$1,029.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.35 / $333.01 / $3,858.43	Professional		$239.35	$333.01	$3,858.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $340.39 / $475.95	Professional		$272.66	$340.39	$475.95
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.74 / $632.72 / $1,015.35	Professional		$442.74	$632.72	$1,015.35