Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.26 / $2,987.00 / $6,915.00	Facility		$80.26	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $84.46 / $218.74	Professional		$44.74	$84.46	$218.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $328.11 / $328.11 / $338.06	Professional	50	$328.11	$328.11	$338.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $90.35 / $176.94	Professional		$44.29	$90.35	$176.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.43 / $135.52 / $265.41	Professional	50	$66.43	$135.52	$265.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $93.62 / $134.91	Facility		$58.52	$93.62	$134.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $76.73 / $640.00	Facility		$69.42	$76.73	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $134.69 / $247.86	Professional		$72.51	$134.69	$247.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $102.64 / $228.32	Professional		$55.41	$102.64	$228.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $79.31 / $145.76	Professional		$53.62	$79.31	$145.76
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $140.19 / $225.60	Professional		$71.00	$140.19	$225.60