Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.18 / $3,295.00 / $6,915.00	Facility		$754.18	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.83 / $820.46 / $1,462.86	Professional		$643.83	$820.46	$1,462.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,795.56 / $6,315.83	Facility		$989.09	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.86 / $1,048.48 / $1,856.82	Professional		$749.86	$1,048.48	$1,856.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.95 / $880.17 / $1,669.43	Professional		$627.95	$880.17	$1,669.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.41 / $939.25 / $1,985.23	Professional		$820.41	$939.25	$1,985.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.30 / $1,263.72 / $1,503.88	Professional		$1,087.30	$1,263.72	$1,503.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.26 / $1,128.46 / $1,947.43	Professional		$766.26	$1,128.46	$1,947.43