Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.11 / $4,592.00 / $6,915.00	Facility		$626.11	$4,592.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,902.00 / $10,902.00 / $10,902.00	Facility	50	$10,902.00	$10,902.00	$10,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.78 / $628.42 / $901.30	Professional		$428.78	$628.42	$901.30
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 $419.68 / $582.67 / $1,095.68	Professional		$419.68	$582.67	$1,095.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $721.08 / $877.65 / $74,999.25	Facility		$721.08	$877.65	$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 $444.94 / $682.64 / $1,392.95	Professional		$444.94	$682.64	$1,392.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.15 / $758.46 / $3,339.67	Professional		$479.15	$758.46	$3,339.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $604.13 / $856.67 / $1,498.41	Professional		$604.13	$856.67	$1,498.41
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 $538.79 / $742.10 / $1,311.70	Professional		$538.79	$742.10	$1,311.70