Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.80 / $3,391.00 / $6,915.00	Facility		$519.80	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $388.18 / $524.90	Professional		$90.12	$388.18	$524.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,460.87 / $5,778.53	Facility		$759.49	$2,460.87	$5,778.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $299.56 / $786.36	Professional		$104.88	$299.56	$786.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $257.22 / $894.11	Professional		$117.55	$257.22	$894.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $389.31 / $2,138.00	Professional		$94.21	$389.31	$2,138.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $151.52 / $683.06	Professional		$130.12	$151.52	$683.06
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,559.00 / $6,000.00	Facility		$772.00	$2,559.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.76 / $629.08 / $980.33	Professional		$442.76	$629.08	$980.33