Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $416.87 / $1,318.26	Facility		$309.03	$416.87	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $457.09	Professional		$309.03	$380.19	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $588.84 / $602.56	Facility		$281.84	$588.84	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $467.74	Professional		$281.84	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,412.54	Facility		$724.44	$1,023.29	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $3,630.78	Professional		$416.87	$602.56	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,000.00	Professional		$467.74	$575.44	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $467.74	Facility		$416.87	$416.87	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $645.65	Professional		$194.98	$281.84	$645.65