Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.55 / $2,950.00 / $6,915.00	Facility		$373.55	$2,950.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $462.03 / $1,115.67 / $4,090.00	Facility	50	$462.03	$1,115.67	$4,090.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.77 / $390.50 / $686.61	Professional		$221.77	$390.50	$686.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $207.13 / $501.46 / $1,797.93	Professional	50	$207.13	$501.46	$1,797.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.41 / $301.41 / $807.77	Professional		$301.41	$301.41	$807.77
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 $217.33 / $316.50 / $581.82	Professional		$217.33	$316.50	$581.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $325.99 / $474.75 / $872.73	Professional	50	$325.99	$474.75	$872.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $370.37 / $452.13 / $74,999.25	Facility		$370.37	$452.13	$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 $263.94 / $453.49 / $874.41	Professional		$263.94	$453.49	$874.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.84 / $461.83 / $1,725.59	Professional		$246.84	$461.83	$1,725.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $317.29 / $517.94 / $710.50	Professional		$317.29	$517.94	$710.50
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 $377.92 / $530.41 / $881.66	Professional		$377.92	$530.41	$881.66