Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.53 / $4,507.00 / $6,915.00	Facility		$734.53	$4,507.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,978.50 / $1,978.50 / $10,750.50	Facility	50	$1,978.50	$1,978.50	$10,750.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.85 / $661.35 / $1,191.73	Professional		$484.85	$661.35	$1,191.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $461.59 / $715.27 / $1,917.71	Professional	50	$461.59	$715.27	$1,917.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,111.76 / $1,111.76 / $1,111.76	Professional		$1,111.76	$1,111.76	$1,111.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $518.00 / $680.35 / $1,667.63	Professional	50	$518.00	$680.35	$1,667.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $678.90 / $1,224.31	Professional		$493.67	$678.90	$1,224.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $740.50 / $1,018.35 / $1,836.46	Professional	50	$740.50	$1,018.35	$1,836.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $848.66 / $998.43 / $74,999.25	Facility		$848.66	$998.43	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,119.77 / $1,410.08	Facility		$778.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.97 / $781.04 / $1,507.93	Professional		$496.97	$781.04	$1,507.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.89 / $862.17 / $3,943.79	Professional		$561.89	$862.17	$3,943.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.42 / $932.86 / $1,763.49	Professional		$707.42	$932.86	$1,763.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.37 / $788.55 / $1,370.22	Professional		$561.37	$788.55	$1,370.22