Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $2,438.00 / $6,915.00	Facility		$28.11	$2,438.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $28.11 / $52.99	Professional		$21.34	$28.11	$52.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $39.14 / $65.48	Professional		$26.57	$39.14	$65.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $36.04 / $64.50	Professional		$22.84	$36.04	$64.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $35.10 / $209.00	Professional		$26.59	$35.10	$209.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $42.67 / $55.75	Professional		$35.54	$42.67	$55.75
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 $31.80 / $48.91 / $77.06	Professional		$31.80	$48.91	$77.06