Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,630.78 / $7,413.10	Facility		$741.31	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,071.52	Professional		$457.09	$588.84	$1,071.52
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 / $1,096.48	Professional		$489.78	$758.58	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $645.65 / $851.14	Facility		$177.83	$645.65	$851.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	54	$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,288.25	Professional		$524.81	$776.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $3,981.07	Professional		$549.54	$776.25	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $707.95 / $707.95 / $741.31	Professional	54	$707.95	$707.95	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $954.99 / $1,096.48	Professional		$933.25	$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 $436.52 / $645.65 / $1,148.15	Professional		$436.52	$645.65	$1,148.15