Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.04 / $3,043.00 / $6,915.00	Facility		$231.04	$3,043.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $895.32 / $895.32 / $895.32	Facility	50	$895.32	$895.32	$895.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $195.57 / $313.52	Professional		$74.51	$195.57	$313.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $909.08 / $909.08 / $909.08	Professional	50	$909.08	$909.08	$909.08
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 $80.08 / $119.73 / $235.58	Professional		$80.08	$119.73	$235.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.12 / $179.59 / $353.37	Professional	50	$120.12	$179.59	$353.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.48 / $168.77 / $243.23	Facility		$105.48	$168.77	$243.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $640.00	Facility		$139.86	$139.86	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $207.63 / $478.35	Professional		$99.09	$207.63	$478.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $230.48 / $618.54	Professional		$96.14	$230.48	$618.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $217.50 / $402.37	Professional		$99.95	$217.50	$402.37
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 $183.75 / $301.29 / $505.77	Professional		$183.75	$301.29	$505.77