Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,548.13 / $7,413.10	Facility		$389.05	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $676.08	Professional		$295.12	$363.08	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,548.13	Facility		$741.31	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $660.69	Professional		$295.12	$467.74	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $537.03 / $645.65	Facility		$177.83	$537.03	$645.65
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	54	$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $831.76	Professional		$316.23	$478.63	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $2,511.89	Professional		$380.19	$478.63	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $446.68 / $446.68 / $501.19	Professional	54	$446.68	$446.68	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $776.25	Professional		$645.65	$645.65	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $758.58	Professional		$269.15	$407.38	$758.58