Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,630.78 / $7,413.10	Facility		$724.44	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,047.13	Professional		$446.68	$549.54	$1,047.13
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 $489.78 / $758.58 / $1,071.52	Professional		$489.78	$758.58	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $645.65 / $831.76	Facility		$177.83	$645.65	$831.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	54	$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,258.93	Professional		$524.81	$758.58	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $3,801.89	Professional		$524.81	$758.58	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $676.08 / $676.08 / $724.44	Professional	54	$676.08	$676.08	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,096.48	Professional		$891.25	$954.99	$1,096.48
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 $426.58 / $645.65 / $1,148.15	Professional		$426.58	$645.65	$1,148.15