Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $4,590.00 / $6,915.00	Facility		$24.68	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $29.99 / $78.62	Professional		$19.32	$29.99	$78.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $52.62 / $61.79	Professional	50	$14.55	$52.62	$61.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $32.00 / $46.44	Professional		$16.00	$32.00	$46.44
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 $21.66 / $50.68 / $89.60	Professional		$21.66	$50.68	$89.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.49 / $76.02 / $134.40	Professional	50	$32.49	$76.02	$134.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $45.09 / $74,999.25	Facility		$37.28	$45.09	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $58.03 / $100.00	Professional		$26.50	$58.03	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $29.96 / $164.51	Professional		$20.91	$29.96	$164.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $30.60 / $42.80	Professional		$17.09	$30.60	$42.80
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 $26.26 / $47.81 / $90.22	Professional		$26.26	$47.81	$90.22