Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $2,221.00 / $5,917.00	Facility		$103.12	$2,221.00	$5,917.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,306.31 / $4,126.00 / $4,126.00	Facility	50	$1,306.31	$4,126.00	$4,126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $108.98 / $219.64	Professional		$60.56	$108.98	$219.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $201.57 / $388.11 / $2,500.00	Professional	50	$201.57	$388.11	$2,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $96.56 / $189.16	Professional		$57.37	$96.56	$189.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.05 / $144.84 / $283.74	Professional	50	$86.05	$144.84	$283.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.22 / $278.22 / $278.22	Facility		$278.22	$278.22	$278.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $100.02 / $640.00	Facility		$100.02	$100.02	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $140.19 / $282.83	Professional		$74.51	$140.19	$282.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $116.06 / $276.91	Professional		$71.89	$116.06	$276.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $102.38 / $174.69	Professional		$72.06	$102.38	$174.69
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $170.20 / $287.01	Professional		$89.37	$170.20	$287.01