Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.63 / $4,852.00 / $7,391.00	Facility		$582.63	$4,852.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.36 / $603.39 / $1,081.33	Professional		$495.36	$603.39	$1,081.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,028.68 / $2,028.68 / $2,028.68	Professional	50	$2,028.68	$2,028.68	$2,028.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $485.64 / $696.74 / $920.04	Professional		$485.64	$696.74	$920.04
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 $486.26 / $683.54 / $1,272.86	Professional		$486.26	$683.54	$1,272.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $729.39 / $1,025.31 / $1,909.30	Professional	50	$729.39	$1,025.31	$1,909.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $830.33 / $1,010.55 / $74,999.25	Facility		$830.33	$1,010.55	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.89 / $5,008.00 / $9,852.00	Facility		$296.89	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.63 / $827.13 / $1,272.48	Professional		$507.63	$827.13	$1,272.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.11 / $767.60 / $3,874.65	Professional		$545.11	$767.60	$3,874.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $644.55 / $763.45 / $887.54	Professional		$644.55	$763.45	$887.54
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 $515.41 / $730.36 / $1,177.81	Professional		$515.41	$730.36	$1,177.81