Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.88 / $3,295.00 / $6,915.00	Facility		$308.88	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.14 / $324.14 / $540.03	Professional		$175.14	$324.14	$540.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,025.78 / $1,025.78 / $1,025.78	Professional	50	$1,025.78	$1,025.78	$1,025.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.92 / $486.92 / $565.88	Professional		$486.92	$486.92	$565.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.65 / $249.28 / $467.15	Professional		$178.65	$249.28	$467.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $267.97 / $373.92 / $700.72	Professional	50	$267.97	$373.92	$700.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.79 / $371.64 / $74,999.25	Facility		$305.79	$371.64	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.52 / $348.48 / $731.01	Professional		$190.52	$348.48	$731.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.89 / $403.02 / $1,420.55	Professional		$202.89	$403.02	$1,420.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.54 / $458.10 / $500.97	Professional		$246.54	$458.10	$500.97
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 $307.35 / $397.39 / $760.69	Professional		$307.35	$397.39	$760.69