Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.16 / $4,613.00 / $6,915.00	Facility		$781.16	$4,613.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,602.00 / $10,602.00 / $10,602.00	Facility	50	$10,602.00	$10,602.00	$10,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.72 / $694.17 / $1,191.71	Professional		$535.72	$694.17	$1,191.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.10 / $726.14 / $1,354.01	Professional		$487.10	$726.14	$1,354.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $937.11 / $1,137.35 / $74,999.25	Facility		$937.11	$1,137.35	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,119.77 / $1,410.08	Facility		$630.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.73 / $769.04 / $1,443.08	Professional		$504.73	$769.04	$1,443.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.92 / $759.18 / $4,353.20	Professional		$593.92	$759.18	$4,353.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.33 / $842.31 / $1,079.88	Professional		$707.33	$842.31	$1,079.88
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 $486.88 / $686.86 / $1,236.10	Professional		$486.88	$686.86	$1,236.10