Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $5,370.32 / $9,549.93	Facility		$338.84	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $660.69	Professional		$257.04	$331.13	$660.69
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 $269.15 / $416.87 / $588.84	Professional		$269.15	$416.87	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $489.78 / $2,511.89	Facility		$177.83	$489.78	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	54	$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $758.58	Professional		$288.40	$436.52	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $2,238.72	Professional		$331.13	$467.74	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $407.38 / $407.38 / $446.68	Professional	54	$407.38	$407.38	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $660.69	Professional		$562.34	$575.44	$660.69
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 $239.88 / $354.81 / $676.08	Professional		$239.88	$354.81	$676.08