Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,162.28 / $5,011.87	Facility		$1,174.90	$3,162.28	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,862.09	Professional		$1,174.90	$1,479.11	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,949.84 / $2,290.87	Facility		$66.07	$1,949.84	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $1,778.28 / $1,778.28	Professional		$33.11	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $5,370.32	Facility		$2,754.23	$3,890.45	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,454.71	Professional		$1,584.89	$1,949.84	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,801.89	Professional		$1,778.28	$2,398.83	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,778.28	Facility		$1,584.89	$1,584.89	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,454.71	Professional		$741.31	$1,071.52	$2,454.71