Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.30 / $266.33 / $415.46	Facility	54	$230.30	$266.33	$415.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.35 / $346.81 / $656.18	Professional		$267.35	$346.81	$656.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.80 / $424.25 / $774.64	Professional		$293.80	$424.25	$774.64
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $357.43	Facility	54	$357.43	$357.43	$357.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $449.21 / $786.99	Professional		$289.39	$449.21	$786.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.65 / $484.06 / $849.59	Professional		$349.65	$484.06	$849.59
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $422.05 / $422.05 / $475.77	Professional	54	$422.05	$422.05	$475.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $562.47 / $634.07	Professional		$480.66	$562.47	$634.07
United Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $426.05 / $775.66	Professional		$284.89	$426.05	$775.66