Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.13 / $4,342.00 / $6,915.00	Facility		$798.13	$4,342.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.15 / $877.94 / $1,758.30	Professional		$680.15	$877.94	$1,758.30
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 $780.68 / $1,095.76 / $1,969.50	Professional		$780.68	$1,095.76	$1,969.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.33 / $946.22 / $1,752.01	Professional		$659.33	$946.22	$1,752.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.26 / $1,003.45 / $1,431.55	Professional		$862.26	$1,003.45	$1,431.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.73 / $1,336.34 / $1,604.52	Professional		$1,142.73	$1,336.34	$1,604.52
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 $765.97 / $1,173.60 / $2,051.11	Professional		$765.97	$1,173.60	$2,051.11