Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.75 / $4,592.00 / $6,915.00	Facility		$692.75	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $606.69 / $1,044.53	Professional		$416.93	$606.69	$1,044.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $330.72 / $330.72 / $330.72	Professional	50	$330.72	$330.72	$330.72
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 $445.36 / $619.37 / $1,153.49	Professional		$445.36	$619.37	$1,153.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $668.04 / $929.05 / $1,730.23	Professional	50	$668.04	$929.05	$1,730.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $928.88 / $74,999.25	Facility		$764.00	$928.88	$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 $465.39 / $725.30 / $1,417.92	Professional		$465.39	$725.30	$1,417.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.10 / $835.42 / $3,544.77	Professional		$507.10	$835.42	$3,544.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $638.25 / $881.92 / $1,587.57	Professional		$638.25	$881.92	$1,587.57
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 $575.96 / $725.31 / $1,429.61	Professional		$575.96	$725.31	$1,429.61