Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,548.13 / $7,413.10	Facility		$346.74	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $630.96	Professional		$263.03	$331.13	$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 $269.15 / $426.58 / $588.84	Professional		$269.15	$426.58	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $2,511.89	Facility		$489.78	$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 $323.59 / $446.68 / $2,290.87	Professional		$323.59	$446.68	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $407.38 / $407.38 / $436.52	Professional	54	$407.38	$407.38	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $660.69	Professional		$549.54	$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 $245.47 / $363.08 / $676.08	Professional		$245.47	$363.08	$676.08