Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,047.13 / $1,621.81	Facility		$389.05	$1,047.13	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $616.60	Professional		$389.05	$501.19	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $758.58	Facility		$380.19	$630.96	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $588.84 / $588.84	Professional		$288.40	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,778.28	Facility		$912.01	$1,288.25	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,412.54 / $3,311.31	Professional		$295.12	$1,412.54	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,380.38	Professional		$524.81	$676.08	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,258.93	Professional		$588.84	$724.44	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $588.84	Facility		$524.81	$524.81	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $812.83	Professional		$245.47	$354.81	$812.83