Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,014.00 / $9,488.00	Facility		$1,791.00	$6,014.00	$9,488.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $716.18 / $716.18 / $716.18	Facility	54	$716.18	$716.18	$716.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $954.91 / $1,356.62	Professional		$761.10	$954.91	$1,356.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $123.23 / $143.24 / $162.82	Professional	55	$123.23	$143.24	$162.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,269.29 / $3,859.05 / $8,545.91	Facility		$1,269.29	$3,859.05	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $833.49 / $852.60 / $2,004.44	Professional		$833.49	$852.60	$2,004.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $4,106.78 / $5,171.51	Facility		$778.00	$4,106.78	$5,171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.67 / $1,287.18 / $2,203.04	Professional		$822.67	$1,287.18	$2,203.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.86 / $1,151.64 / $5,704.00	Professional		$904.86	$1,151.64	$5,704.00
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $1,015.01 / $1,015.01 / $1,015.01	Professional	54	$1,015.01	$1,015.01	$1,015.01
Kaiser Permanente Facility/Professional Professional Modifier 55 Low / Median / High Price $72.50 / $72.50 / $72.50	Professional	55	$72.50	$72.50	$72.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $986.63 / $1,216.90 / $1,645.20	Professional		$986.63	$1,216.90	$1,645.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.20 / $1,276.55 / $1,962.22	Professional		$889.20	$1,276.55	$1,962.22