Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $1,023.29 / $1,202.26	Facility		$30.20	$1,023.29	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $1,479.11	Professional		$30.20	$47.86	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,047.13	Professional		$478.63	$691.83	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,659.59	Professional		$676.08	$1,047.13	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,288.25 / $2,089.30	Professional		$602.56	$1,288.25	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $81.28	Professional		$19.50	$28.18	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $89.13	Professional		$50.12	$67.61	$89.13