Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.42 / $2,987.00 / $6,915.00	Facility		$209.42	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $214.01 / $356.86	Professional		$128.15	$214.01	$356.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.52 / $608.07 / $608.07	Professional	50	$194.52	$608.07	$608.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $192.14 / $286.08	Professional		$104.41	$192.14	$286.08
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 $142.35 / $196.75 / $370.62	Professional		$142.35	$196.75	$370.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $213.52 / $295.12 / $555.92	Professional	50	$213.52	$295.12	$555.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.64 / $298.56 / $74,999.25	Facility		$244.64	$298.56	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.75 / $159.57 / $200.94	Facility		$147.75	$159.57	$200.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.40 / $247.41 / $480.70	Professional		$153.40	$247.41	$480.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $271.47 / $1,132.33	Professional		$163.00	$271.47	$1,132.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $206.53 / $283.48 / $542.86	Professional		$206.53	$283.48	$542.86
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 $201.54 / $262.87 / $454.42	Professional		$201.54	$262.87	$454.42