Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $3,460.00 / $6,915.00	Facility		$1,362.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.19 / $285.70 / $326.70	Professional		$217.19	$285.70	$326.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.38 / $2,116.69 / $4,221.47	Facility		$552.38	$2,116.69	$4,221.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $294.69 / $562.88	Professional		$233.86	$294.69	$562.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,233.00	Facility		$506.00	$700.00	$1,233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $392.02 / $571.69	Professional		$326.68	$392.02	$571.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.52 / $437.50 / $775.41	Professional		$288.52	$437.50	$775.41