Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.85 / $4,592.00 / $6,915.00	Facility		$440.85	$4,592.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,527.50 / $8,527.50 / $8,527.50	Facility	50	$8,527.50	$8,527.50	$8,527.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $480.54 / $717.00	Professional		$309.02	$480.54	$717.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $283.19 / $283.19 / $283.19	Professional	50	$283.19	$283.19	$283.19
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 $301.01 / $407.09 / $779.39	Professional		$301.01	$407.09	$779.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $451.51 / $610.64 / $1,169.08	Professional	50	$451.51	$610.64	$1,169.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.92 / $637.67 / $74,999.25	Facility		$519.92	$637.67	$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 $309.22 / $489.75 / $1,080.69	Professional		$309.22	$489.75	$1,080.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.14 / $590.60 / $2,421.90	Professional		$348.14	$590.60	$2,421.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $444.53 / $662.53 / $1,080.40	Professional		$444.53	$662.53	$1,080.40
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 $406.91 / $559.58 / $1,095.44	Professional		$406.91	$559.58	$1,095.44