Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.73 / $5,063.00 / $7,421.00	Facility		$531.73	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $531.73 / $1,258.13	Professional		$456.00	$531.73	$1,258.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.78 / $730.87 / $1,168.86	Professional		$458.78	$730.87	$1,168.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.82 / $807.30 / $1,320.86	Professional		$555.82	$807.30	$1,320.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.55 / $637.66 / $4,484.00	Professional		$546.55	$637.66	$4,484.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $747.49 / $781.88 / $842.62	Professional		$747.49	$781.88	$842.62
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 $494.67 / $766.74 / $1,149.05	Professional		$494.67	$766.74	$1,149.05