Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.40 / $3,460.00 / $6,915.00	Facility		$378.40	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.86 / $378.40 / $704.95	Professional		$241.86	$378.40	$704.95
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 $282.02 / $449.51 / $800.21	Professional		$282.02	$449.51	$800.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $458.49 / $919.20	Professional		$281.58	$458.49	$919.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.42 / $468.12 / $637.44	Professional		$307.42	$468.12	$637.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $360.51 / $517.02 / $787.29	Professional		$360.51	$517.02	$787.29
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 $378.55 / $530.26 / $974.66	Professional		$378.55	$530.26	$974.66