Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $1,571.00 / $5,063.00	Facility		$113.54	$1,571.00	$5,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $122.73 / $248.16	Professional		$63.74	$122.73	$248.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $146.62 / $246.53	Professional		$83.26	$146.62	$246.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $139.88 / $251.50	Professional		$68.29	$139.88	$251.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $143.00 / $304.89	Professional		$79.15	$143.00	$304.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $127.46 / $230.33	Professional		$79.14	$127.46	$230.33
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 $115.86 / $190.18 / $308.44	Professional		$115.86	$190.18	$308.44