Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.86 / $3,391.00 / $6,915.00	Facility		$408.86	$3,391.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.59 / $53.60 / $204.43	Facility	52	$47.59	$53.60	$204.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $355.90 / $508.72	Professional		$95.18	$355.90	$508.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $347.52 / $740.85	Professional		$121.48	$347.52	$740.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.98 / $476.98 / $476.98	Facility		$476.98	$476.98	$476.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $524.36 / $995.19	Professional		$152.02	$524.36	$995.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $446.12 / $1,505.00	Professional		$115.14	$446.12	$1,505.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $61.55 / $61.55 / $238.47	Professional	52	$61.55	$61.55	$238.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $612.40 / $750.29	Professional		$158.71	$612.40	$750.29
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.90 / $662.00 / $973.06	Professional		$479.90	$662.00	$973.06