Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.03 / $4,507.00 / $7,631.00	Facility		$652.03	$4,507.00	$7,631.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.12 / $198.17 / $326.01	Facility	52	$125.12	$198.17	$326.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $2,276.86 / $4,819.75	Facility		$640.00	$2,276.86	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.00 / $437.00 / $437.00	Facility		$437.00	$437.00	$437.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $868.00 / $1,761.45	Facility		$506.00	$868.00	$1,761.45
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.64 / $331.03 / $842.71	Professional		$254.64	$331.03	$842.71
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $208.65 / $208.65 / $266.33	Professional	52	$208.65	$208.65	$266.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,013.31 / $3,250.00 / $3,250.00	Facility		$3,013.31	$3,250.00	$3,250.00
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00