Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $2,800.00 / $6,915.00	Facility		$101.78	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $117.28 / $234.37	Professional		$93.54	$117.28	$234.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.38 / $848.40 / $1,789.93	Facility		$552.38	$848.40	$1,789.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $151.46 / $263.89	Professional		$108.16	$151.46	$263.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $130.97 / $231.76	Professional		$92.45	$130.97	$231.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $129.24 / $318.89	Professional		$118.24	$129.24	$318.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.62 / $177.40 / $210.41	Professional		$148.62	$177.40	$210.41
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 $112.58 / $169.01 / $276.70	Professional		$112.58	$169.01	$276.70