Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.51 / $2,800.00 / $6,915.00	Facility		$184.51	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $186.82 / $329.67	Professional		$131.19	$186.82	$329.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $243.26 / $324.68 / $443.25	Professional	50	$243.26	$324.68	$443.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.06 / $215.06 / $274.94	Professional		$215.06	$215.06	$274.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $412.41 / $412.41 / $412.41	Professional	50	$412.41	$412.41	$412.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.71 / $1,949.16 / $3,851.83	Facility		$579.71	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $187.11 / $324.64	Professional		$125.05	$187.11	$324.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $187.57 / $280.66 / $486.96	Professional	50	$187.57	$280.66	$486.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.23 / $261.64 / $74,999.25	Facility		$214.23	$261.64	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.80 / $202.25 / $411.00	Facility		$161.80	$202.25	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.49 / $252.98 / $384.09	Professional		$151.49	$252.98	$384.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.85 / $216.79 / $994.68	Professional		$142.85	$216.79	$994.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.57 / $230.73 / $309.70	Professional		$182.57	$230.73	$309.70
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 $158.82 / $251.40 / $411.38	Professional		$158.82	$251.40	$411.38