Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.10 / $6,524.00 / $9,512.00	Facility		$1,639.10	$6,524.00	$9,512.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $566.04 / $819.55 / $4,500.00	Facility	52	$566.04	$819.55	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.80 / $1,255.20 / $2,722.38	Professional		$971.80	$1,255.20	$2,722.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,571.60 / $8,545.91	Facility		$1,749.00	$4,571.60	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.67 / $1,419.25 / $2,450.51	Professional		$1,015.67	$1,419.25	$2,450.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.53 / $1,652.62 / $2,704.72	Professional		$1,034.53	$1,652.62	$2,704.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.22 / $1,300.29 / $5,058.27	Professional		$1,000.22	$1,300.29	$5,058.27
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $699.04 / $699.04 / $699.04	Professional	52	$699.04	$699.04	$699.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.82 / $1,596.20 / $1,850.41	Professional		$1,503.82	$1,596.20	$1,850.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.60 / $1,408.73 / $2,418.23	Professional		$999.60	$1,408.73	$2,418.23