Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.65 / $4,372.50 / $7,421.00	Facility		$635.65	$4,372.50	$7,421.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,145.45 / $5,506.00 / $9,057.50	Facility	50	$1,145.45	$5,506.00	$9,057.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $171.06 / $447.72	Professional		$147.01	$171.06	$447.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.32 / $539.79 / $953.70	Professional	50	$254.32	$539.79	$953.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.44 / $283.44 / $283.44	Professional		$283.44	$283.44	$283.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $231.46 / $424.64	Professional		$159.44	$231.46	$424.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.17 / $347.19 / $636.96	Professional	50	$239.17	$347.19	$636.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.08 / $215.18 / $354.47	Facility		$178.08	$215.18	$354.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.81 / $196.99 / $344.58	Professional		$194.81	$196.99	$344.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.39 / $830.39 / $830.39	Facility		$830.39	$830.39	$830.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $261.87 / $422.25	Professional		$175.08	$261.87	$422.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $205.18 / $735.37	Professional		$157.83	$205.18	$735.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,178.87 / $2,178.87 / $3,750.00	Facility		$2,178.87	$2,178.87	$3,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $219.37 / $349.12	Professional		$161.47	$219.37	$349.12