Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,495.41 / $9,549.93	Facility		$1,737.80	$5,495.41	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,737.80	Professional		$758.58	$977.24	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,890.45 / $11,220.18	Facility		$1,659.59	$3,890.45	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,905.46	Professional		$870.96	$1,348.96	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $6,918.31	Facility		$1,348.96	$1,445.44	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,187.76	Professional		$891.25	$1,348.96	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $4,677.35	Professional		$891.25	$1,318.26	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,413.10 / $17,378.01	Facility		$1,995.26	$7,413.10	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,905.46	Professional		$724.44	$1,148.15	$1,905.46