Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.51 / $4,590.00 / $6,915.00	Facility		$89.51	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $108.31 / $177.18	Professional		$78.89	$108.31	$177.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $264.27 / $264.27 / $264.27	Professional	50	$264.27	$264.27	$264.27
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 $77.98 / $109.18 / $196.56	Professional		$77.98	$109.18	$196.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $116.98 / $163.77 / $294.83	Professional	50	$116.98	$163.77	$294.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.06 / $161.52 / $74,999.25	Facility		$131.06	$161.52	$74,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $138.76 / $227.76	Professional		$84.02	$138.76	$227.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $128.58 / $609.86	Professional		$88.18	$128.58	$609.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $120.31 / $146.15	Professional		$100.45	$120.31	$146.15
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 $89.81 / $133.99 / $221.36	Professional		$89.81	$133.99	$221.36