Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.90 / $3,460.00 / $6,915.00	Facility		$233.90	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $257.29 / $477.86	Professional		$159.19	$257.29	$477.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.13 / $290.14 / $518.41	Professional		$187.13	$290.14	$518.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.40 / $289.14 / $568.35	Professional		$192.40	$289.14	$568.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $284.13 / $355.26	Professional		$198.99	$284.13	$355.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.19 / $334.67 / $519.52	Professional		$283.19	$334.67	$519.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.05 / $340.91 / $597.32	Professional		$238.05	$340.91	$597.32