Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.32 / $2,950.00 / $6,915.00	Facility		$751.32	$2,950.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.54 / $814.27 / $1,668.08	Professional		$611.54	$814.27	$1,668.08
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 $713.57 / $996.05 / $1,843.99	Professional		$713.57	$996.05	$1,843.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $876.02 / $1,653.27	Professional		$595.91	$876.02	$1,653.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.09 / $938.01 / $1,244.02	Professional		$779.09	$938.01	$1,244.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.63 / $1,250.32 / $1,501.25	Professional		$1,031.63	$1,250.32	$1,501.25
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 $762.00 / $1,120.20 / $1,953.03	Professional		$762.00	$1,120.20	$1,953.03