Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.99 / $2,595.00 / $6,915.00	Facility		$57.99	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $72.76 / $150.05	Professional		$49.41	$72.76	$150.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.45 / $108.51 / $277.39	Professional	50	$73.45	$108.51	$277.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $87.47	Professional		$82.00	$82.00	$87.47
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 $45.71 / $75.33 / $141.97	Professional		$45.71	$75.33	$141.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.56 / $113.00 / $212.97	Professional	50	$68.56	$113.00	$212.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.13 / $95.03 / $74,999.25	Facility		$79.13	$95.03	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $29.42 / $411.00	Facility		$23.54	$29.42	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $112.29 / $181.92	Professional		$60.05	$112.29	$181.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $72.18 / $366.66	Professional		$51.88	$72.18	$366.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $66.73 / $80.51	Professional		$58.51	$66.73	$80.51
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $97.95 / $153.13	Professional		$58.72	$97.95	$153.13