Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.91 / $2,987.00 / $6,915.00	Facility		$168.91	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $150.94 / $294.63	Professional		$103.78	$150.94	$294.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.47 / $401.78 / $543.02	Professional	50	$87.47	$401.78	$543.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $134.47 / $248.49	Professional		$107.55	$134.47	$248.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $131.34 / $208.18 / $372.73	Professional	50	$131.34	$208.18	$372.73
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 $114.42 / $157.32 / $283.75	Professional		$114.42	$157.32	$283.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $171.63 / $235.98 / $425.62	Professional	50	$171.63	$235.98	$425.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $153.08 / $424.13	Facility		$112.98	$153.08	$424.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.35 / $178.35 / $178.35	Professional		$178.35	$178.35	$178.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.85 / $99.20 / $124.91	Facility		$91.85	$99.20	$124.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $182.89 / $330.14	Professional		$120.59	$182.89	$330.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $194.29 / $917.23	Professional		$129.93	$194.29	$917.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $201.63 / $382.93	Professional		$152.40	$201.63	$382.93
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 $143.97 / $197.05 / $334.05	Professional		$143.97	$197.05	$334.05