Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,460.00 / $6,915.00	Facility		$632.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $91.05	Professional		$51.00	$51.00	$91.05
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 $103.55 / $121.83 / $121.83	Professional		$103.55	$121.83	$121.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $89.64	Professional		$84.00	$84.00	$89.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $117.67 / $809.00	Professional		$117.67	$117.67	$809.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $173.01 / $230.71	Professional		$123.58	$173.01	$230.71
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 $42.66 / $121.50 / $121.50	Professional		$42.66	$121.50	$121.50