Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.84 / $2,800.00 / $6,915.00	Facility		$109.84	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $137.27 / $264.74	Professional		$66.54	$137.27	$264.74
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 $79.03 / $155.47 / $290.24	Professional		$79.03	$155.47	$290.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.27 / $157.25 / $354.64	Professional		$74.27	$157.25	$354.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $136.24 / $190.45	Professional		$100.64	$136.24	$190.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.38 / $241.38 / $242.39	Professional		$241.38	$241.38	$242.39
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $181.62 / $366.10	Professional		$135.88	$181.62	$366.10