Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.08 / $4,592.00 / $6,915.00	Facility		$608.08	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.57 / $602.89 / $957.09	Professional		$414.57	$602.89	$957.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.11 / $592.01 / $1,144.64	Professional	50	$125.11	$592.01	$1,144.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $542.13 / $585.98 / $924.18	Professional		$542.13	$585.98	$924.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $878.96 / $878.96 / $969.57	Professional	50	$878.96	$878.96	$969.57
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 $421.91 / $572.12 / $1,046.82	Professional		$421.91	$572.12	$1,046.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $632.86 / $858.18 / $1,570.23	Professional	50	$632.86	$858.18	$1,570.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.03 / $878.43 / $74,999.25	Facility		$720.03	$878.43	$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 $416.36 / $618.30 / $1,160.61	Professional		$416.36	$618.30	$1,160.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.57 / $727.86 / $3,359.23	Professional		$479.57	$727.86	$3,359.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $607.65 / $775.47 / $1,496.19	Professional		$607.65	$775.47	$1,496.19
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 $476.55 / $614.71 / $1,157.60	Professional		$476.55	$614.71	$1,157.60