Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.70 / $3,295.00 / $6,915.00	Facility		$229.70	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $273.74 / $545.91	Professional		$138.03	$273.74	$545.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $298.61 / $776.24 / $920.79	Professional	50	$298.61	$776.24	$920.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $267.08 / $491.40	Professional		$225.39	$267.08	$491.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,292.94 / $5,240.56	Facility		$606.69	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $214.28 / $402.22	Professional		$153.38	$214.28	$402.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $230.08 / $321.42 / $603.33	Professional	50	$230.08	$321.42	$603.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $319.10 / $74,999.25	Facility		$262.74	$319.10	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.83 / $242.29 / $411.00	Facility		$193.83	$242.29	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $310.64 / $614.04	Professional		$168.33	$310.64	$614.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $339.92 / $1,221.19	Professional		$174.21	$339.92	$1,221.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $265.11 / $529.36	Professional		$128.29	$265.11	$529.36
United Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $3,100.00 / $5,352.00	Facility		$567.00	$3,100.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.79 / $351.81 / $600.29	Professional		$270.79	$351.81	$600.29