Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $7,943.28	Facility		$1,905.46	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,344.23	Professional		$1,047.13	$1,258.93	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,090.30 / $6,025.60	Facility		$1,230.27	$3,090.30	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,630.27	Professional		$1,148.15	$1,819.70	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $2,187.76	Facility		$1,202.26	$1,995.26	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,019.95	Professional		$1,202.26	$1,778.28	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $6,606.93	Professional		$1,258.93	$1,778.28	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,137.96	Professional		$1,819.70	$2,041.74	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,623.41 / $8,511.38	Facility		$1,513.56	$5,623.41	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,630.27	Professional		$977.24	$1,513.56	$2,630.27