Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.60 / $5,063.00 / $7,421.00	Facility		$873.60	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.73 / $873.60 / $1,667.78	Professional		$747.73	$873.60	$1,667.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.50 / $1,199.25 / $1,853.62	Professional		$753.50	$1,199.25	$1,853.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.25 / $1,327.46 / $2,166.67	Professional		$931.25	$1,327.46	$2,166.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.56 / $1,045.98 / $6,972.00	Professional		$896.56	$1,045.98	$6,972.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.97 / $1,284.54 / $1,382.19	Professional		$1,226.97	$1,284.54	$1,382.19
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 $813.39 / $1,260.75 / $2,058.64	Professional		$813.39	$1,260.75	$2,058.64