Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,754.23 / $7,413.10	Facility		$489.78	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $794.33	Professional		$281.84	$371.54	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,187.76 / $4,786.30	Facility		$794.33	$2,187.76	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $870.96	Professional		$338.84	$549.54	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,258.93	Facility		$549.54	$645.65	$1,258.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	AS	$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $831.76	Professional		$338.84	$512.86	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $1,778.28	Professional		$346.74	$501.19	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	80	$30.20	$30.20	$30.20
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.79 / $14.79 / $14.79	Professional	AS	$14.79	$14.79	$14.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $588.84	Professional		$478.63	$537.03	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $724.44	Professional		$269.15	$426.58	$724.44