Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.75 / $2,357.00 / $6,074.25	Facility		$695.75	$2,357.00	$6,074.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,178.50 / $3,535.50 / $6,971.25	Facility	50	$1,178.50	$3,535.50	$6,971.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $341.60 / $795.00	Professional		$190.76	$341.60	$795.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.22 / $350.20 / $1,082.45	Professional	50	$48.22	$350.20	$1,082.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $344.96 / $718.48	Professional		$187.90	$344.96	$718.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $281.85 / $520.97 / $1,077.72	Professional	50	$281.85	$520.97	$1,077.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.82 / $243.86 / $393.78	Facility		$201.82	$243.86	$393.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.04 / $357.26 / $621.30	Professional		$354.04	$357.26	$621.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.47 / $467.82 / $939.34	Professional		$240.47	$467.82	$939.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.87 / $317.74 / $1,793.32	Professional		$192.87	$317.74	$1,793.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,363.12 / $2,363.12 / $6,500.00	Facility		$2,363.12	$2,363.12	$6,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $324.38 / $555.04	Professional		$257.77	$324.38	$555.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.20 / $476.55 / $737.04	Professional		$291.20	$476.55	$737.04