Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $8,511.38	Facility		$1,659.59	$2,238.72	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,630.27	Professional		$1,659.59	$2,041.74	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $3,630.78	Facility		$1,819.70	$3,162.28	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $4,677.35	Professional		$1,513.56	$1,513.56	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $7,585.78	Facility		$3,890.45	$5,495.41	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $14,125.38	Professional		$2,238.72	$2,238.72	$14,125.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $19,498.45	Professional		$2,238.72	$2,884.03	$19,498.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $5,370.32	Professional		$2,511.89	$3,388.44	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,818.38	Facility		$2,238.72	$2,238.72	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,467.37	Professional		$1,047.13	$1,513.56	$3,467.37