Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.72 / $5,045.00 / $6,915.00	Facility		$732.72	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.33 / $732.72 / $1,558.42	Professional		$634.33	$732.72	$1,558.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.92 / $1,003.15 / $1,834.62	Professional		$648.92	$1,003.15	$1,834.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.34 / $1,104.90 / $1,859.90	Professional		$739.34	$1,104.90	$1,859.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.73 / $886.35 / $5,089.89	Professional		$759.73	$886.35	$5,089.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.70 / $1,109.83 / $1,253.55	Professional		$1,039.70	$1,109.83	$1,253.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $968.14 / $1,530.67	Professional		$677.02	$968.14	$1,530.67