Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $3,630.78 / $7,413.10	Facility		$154.88	$3,630.78	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	50	$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $316.23	Professional		$112.20	$158.49	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $323.59 / $575.44	Professional	50	$162.18	$323.59	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $263.03	Professional		$114.82	$134.90	$263.03
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $363.08	Professional	50	$263.03	$263.03	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,089.30 / $3,548.13	Facility		$741.31	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $257.04	Professional		$93.33	$151.36	$257.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $229.09 / $380.19	Professional	50	$141.25	$229.09	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $114.82	Facility		$83.18	$91.20	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $316.23	Professional		$102.33	$158.49	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $912.01	Professional		$123.03	$169.82	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $199.53	Professional		$147.91	$169.82	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,348.96 / $2,454.71	Facility		$109.65	$1,348.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $269.15	Professional		$112.20	$154.88	$269.15