Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,630.78 / $7,413.10	Facility		$302.00	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $436.52	Professional		$162.18	$257.04	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,089.30 / $3,548.13	Facility		$741.31	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $380.19	Professional		$144.54	$223.87	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $407.38	Facility		$162.18	$204.17	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $588.84	Professional		$173.78	$295.12	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $1,288.25	Professional		$165.96	$346.74	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $371.54	Professional		$208.93	$239.88	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,348.96 / $2,454.71	Facility		$109.65	$1,348.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $467.74	Professional		$169.82	$263.03	$467.74