Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.31 / $4,592.00 / $6,915.00	Facility		$691.31	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $611.67 / $1,104.36	Professional		$428.62	$611.67	$1,104.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $716.91 / $892.69 / $1,659.09	Professional	50	$716.91	$892.69	$1,659.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.40 / $655.76 / $1,165.16	Professional		$468.40	$655.76	$1,165.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $702.60 / $983.64 / $1,747.74	Professional	50	$702.60	$983.64	$1,747.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $947.30 / $74,999.25	Facility		$805.20	$947.30	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,119.77 / $1,410.08	Facility		$778.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.51 / $754.91 / $1,414.88	Professional		$492.51	$754.91	$1,414.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.23 / $811.69 / $3,738.61	Professional		$533.23	$811.69	$3,738.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $666.89 / $863.87 / $1,673.17	Professional		$666.89	$863.87	$1,673.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.84 / $774.06 / $1,363.47	Professional		$582.84	$774.06	$1,363.47