Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.87 / $5,045.00 / $6,915.00	Facility		$496.87	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.31 / $515.24 / $1,059.09	Professional		$423.31	$515.24	$1,059.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.72 / $720.55 / $1,329.00	Professional		$457.72	$720.55	$1,329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.16 / $762.62 / $1,247.35	Professional		$516.16	$762.62	$1,247.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.13 / $602.16 / $2,313.01	Professional		$473.13	$602.16	$2,313.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $430.12 / $722.61 / $820.54	Professional		$430.12	$722.61	$820.54
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 $467.29 / $674.48 / $1,180.40	Professional		$467.29	$674.48	$1,180.40