Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,630.78 / $7,413.10	Facility		$346.74	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $630.96	Professional		$239.88	$316.23	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $524.81	Professional		$245.47	$371.54	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $446.68 / $2,511.89	Facility		$177.83	$446.68	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $676.08	Professional		$257.04	$389.05	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $2,041.74	Professional		$309.03	$426.58	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $371.54 / $371.54 / $407.38	Professional	54	$371.54	$371.54	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $616.60	Professional		$512.86	$524.81	$616.60
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 $213.80 / $323.59 / $616.60	Professional		$213.80	$323.59	$616.60