Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.19 / $2,987.00 / $6,915.00	Facility		$433.19	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.92 / $422.12 / $725.36	Professional		$242.92	$422.12	$725.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $515.21 / $721.29 / $1,426.43	Professional	50	$515.21	$721.29	$1,426.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.47 / $348.97 / $652.07	Professional		$247.47	$348.97	$652.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $371.20 / $523.46 / $978.10	Professional	50	$371.20	$523.46	$978.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.46 / $516.23 / $74,999.25	Facility		$427.46	$516.23	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.80 / $202.25 / $778.00	Facility		$161.80	$202.25	$778.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.38 / $508.74 / $1,004.10	Professional		$276.38	$508.74	$1,004.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $536.19 / $1,967.78	Professional		$281.83	$536.19	$1,967.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $337.01 / $389.99 / $722.25	Professional		$337.01	$389.99	$722.25
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.54 / $535.60 / $919.35	Professional		$354.54	$535.60	$919.35