Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,288.25	Facility		$933.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,548.82	Professional		$1,258.93	$1,288.25	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $7,079.46	Facility		$1,288.25	$1,412.54	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,479.11	Professional		$398.11	$398.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,318.26 / $1,737.80	Professional		$354.81	$1,318.26	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $501.19 / $776.25	Professional		$30.20	$501.19	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $331.13 / $467.74	Facility		$181.97	$331.13	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,288.25 / $1,548.82	Professional		$398.11	$1,288.25	$1,548.82