Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $2,570.40	Facility		$501.19	$676.08	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $812.83	Professional		$501.19	$616.60	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $831.76 / $977.24	Facility		$213.80	$831.76	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $588.84	Professional		$107.15	$107.15	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,290.87	Facility		$1,174.90	$1,659.59	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $3,890.45	Professional		$446.68	$446.68	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $3,548.13	Professional		$676.08	$977.24	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,621.81	Professional		$758.58	$1,023.29	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $758.58	Facility		$676.08	$676.08	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,047.13	Professional		$316.23	$457.09	$1,047.13