Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $3,391.00 / $6,915.00	Facility		$79.79	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $56.49 / $149.29	Professional		$45.90	$56.49	$149.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $76.59 / $151.58	Professional		$48.52	$76.59	$151.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $92.00 / $136.60	Professional		$54.05	$92.00	$136.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $64.59 / $220.74	Professional		$50.75	$64.59	$220.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $77.27 / $89.04	Professional		$64.59	$77.27	$89.04
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.75 / $133.69	Professional		$50.12	$69.75	$133.69