Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $2,800.00 / $6,915.00	Facility		$34.69	$2,800.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $322.76 / $322.76 / $322.76	Facility	50	$322.76	$322.76	$322.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $51.32 / $270.00	Professional		$26.26	$51.32	$270.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.40 / $277.58 / $277.58	Professional	50	$210.40	$277.58	$277.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $54.70 / $180.08	Professional		$24.42	$54.70	$180.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.63 / $82.05 / $270.12	Professional	50	$36.63	$82.05	$270.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $50.04 / $72.12	Facility		$31.28	$50.04	$72.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $640.00	Facility		$41.84	$41.84	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $134.16 / $339.77	Professional		$40.21	$134.16	$339.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $43.08 / $417.25	Professional		$29.98	$43.08	$417.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $42.40 / $59.57	Professional		$30.28	$42.40	$59.57
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 $31.47 / $87.75 / $349.51	Professional		$31.47	$87.75	$349.51