Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.47 / $2,595.00 / $6,915.00	Facility		$384.47	$2,595.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,821.00 / $4,821.00 / $9,596.92	Facility	50	$4,821.00	$4,821.00	$9,596.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.23 / $480.46 / $1,232.43	Professional		$302.23	$480.46	$1,232.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $931.22 / $1,120.47 / $1,226.40	Professional	50	$931.22	$1,120.47	$1,226.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.66 / $460.46 / $1,771.78	Professional		$308.66	$460.46	$1,771.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $791.91 / $791.91 / $866.47	Professional	50	$791.91	$791.91	$866.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.71 / $1,949.16 / $3,851.83	Facility		$579.71	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $498.76 / $1,414.50	Professional		$295.08	$498.76	$1,414.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $442.63 / $748.14 / $2,121.75	Professional	50	$442.63	$748.14	$2,121.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.14 / $400.79 / $1,101.94	Facility		$292.14	$400.79	$1,101.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $424.96 / $424.96 / $424.96	Professional		$424.96	$424.96	$424.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.17 / $5,008.00 / $9,852.00	Facility		$188.17	$5,008.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.58 / $812.77 / $1,643.51	Professional		$330.58	$812.77	$1,643.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.97 / $467.44 / $2,361.21	Professional		$335.97	$467.44	$2,361.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,625.05 / $1,625.05 / $2,150.00	Facility		$1,625.05	$1,625.05	$2,150.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $393.43 / $486.14 / $986.50	Professional		$393.43	$486.14	$986.50
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 $345.44 / $618.24 / $1,526.69	Professional		$345.44	$618.24	$1,526.69