Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $2,987.00 / $6,915.00	Facility		$117.53	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $119.09 / $217.49	Professional		$87.01	$119.09	$217.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.25 / $278.16 / $286.52	Professional	50	$115.25	$278.16	$286.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $210.17 / $210.17 / $268.67	Professional	50	$210.17	$210.17	$268.67
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 $91.15 / $130.84 / $258.52	Professional		$91.15	$130.84	$258.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $136.72 / $196.26 / $387.79	Professional	50	$136.72	$196.26	$387.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.33 / $203.94 / $74,999.25	Facility		$165.33	$203.94	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $84.17 / $411.00	Facility		$67.33	$84.17	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $142.09 / $260.02	Professional		$93.33	$142.09	$260.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $154.91 / $776.54	Professional		$111.11	$154.91	$776.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $158.80 / $343.51	Professional		$132.32	$158.80	$343.51
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 $100.11 / $140.16 / $240.80	Professional		$100.11	$140.16	$240.80