Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.25 / $2,259.50 / $6,915.00	Facility		$555.25	$2,259.50	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,817.50 / $3,620.80 / $5,752.14	Facility	50	$1,817.50	$3,620.80	$5,752.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $579.17 / $1,235.25	Professional		$448.50	$579.17	$1,235.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,795.56 / $6,315.83	Facility		$776.14	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.01 / $734.61 / $1,286.94	Professional		$482.01	$734.61	$1,286.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,053.29 / $1,131.83 / $1,738.19	Facility		$1,053.29	$1,131.83	$1,738.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $6,918.00 / $9,852.00	Facility		$1,942.85	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.22 / $835.56 / $1,291.10	Professional		$495.22	$835.56	$1,291.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.75 / $717.28 / $932.46	Professional		$551.75	$717.28	$932.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $579.34 / $800.04 / $887.35	Professional		$579.34	$800.04	$887.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.98 / $679.82 / $1,223.40	Professional		$501.98	$679.82	$1,223.40