Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.85 / $4,590.00 / $6,915.00	Facility		$722.85	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.88 / $780.80 / $1,440.40	Professional		$574.88	$780.80	$1,440.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.06 / $943.33 / $1,751.41	Professional		$669.06	$943.33	$1,751.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.04 / $829.11 / $1,586.55	Professional		$558.04	$829.11	$1,586.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.31 / $906.91 / $1,120.45	Professional		$731.31	$906.91	$1,120.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $970.13 / $1,164.83 / $1,452.99	Professional		$970.13	$1,164.83	$1,452.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,886.00 / $7,889.00	Facility		$1,200.00	$4,886.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.08 / $1,059.81 / $1,888.26	Professional		$733.08	$1,059.81	$1,888.26