Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $4,195.00 / $6,900.00	Facility		$838.00	$4,195.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.53 / $803.08 / $1,601.68	Professional		$683.53	$803.08	$1,601.68
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 $732.85 / $1,050.66 / $1,898.44	Professional		$732.85	$1,050.66	$1,898.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.08 / $999.84 / $2,008.70	Professional		$803.08	$999.84	$2,008.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.53 / $975.79 / $1,294.45	Professional		$866.53	$975.79	$1,294.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $825.67 / $1,102.84 / $1,375.34	Professional		$825.67	$1,102.84	$1,375.34
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 $722.95 / $1,009.03 / $1,804.18	Professional		$722.95	$1,009.03	$1,804.18