Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $3,460.00 / $6,915.00	Facility		$178.13	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $189.38 / $325.97	Professional		$107.83	$189.38	$325.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $204.56 / $374.20	Professional		$125.45	$204.56	$374.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $186.77 / $381.43	Professional		$105.26	$186.77	$381.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $217.20 / $293.37	Professional		$137.03	$217.20	$293.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $211.19 / $322.61	Professional		$135.60	$211.19	$322.61
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.19 / $246.20 / $452.22	Professional		$173.19	$246.20	$452.22