Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.95 / $3,295.00 / $6,915.00	Facility		$670.95	$3,295.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,145.45 / $2,497.50 / $5,725.00	Facility	50	$1,145.45	$2,497.50	$5,725.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.04 / $587.20 / $983.63	Professional		$422.04	$587.20	$983.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $642.34 / $1,292.73 / $1,927.01	Professional	50	$642.34	$1,292.73	$1,927.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.37 / $622.83 / $1,155.81	Professional		$451.37	$622.83	$1,155.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $677.05 / $934.24 / $1,733.72	Professional	50	$677.05	$934.24	$1,733.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $773.66 / $940.61 / $74,999.25	Facility		$773.66	$940.61	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.57 / $710.47 / $1,348.03	Professional		$471.57	$710.47	$1,348.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.52 / $787.23 / $3,597.54	Professional		$513.52	$787.23	$3,597.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $647.04 / $837.85 / $1,607.64	Professional		$647.04	$837.85	$1,607.64
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 $562.54 / $710.47 / $1,252.04	Professional		$562.54	$710.47	$1,252.04