Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.64 / $5,045.00 / $6,915.00	Facility		$1,077.64	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.70 / $1,173.91 / $2,789.49	Professional		$961.70	$1,173.91	$2,789.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.79 / $7,650.12 / $17,687.80	Facility		$2,023.79	$7,650.12	$17,687.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.38 / $1,371.13 / $2,483.79	Professional		$979.38	$1,371.13	$2,483.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.07 / $1,673.10 / $2,648.55	Professional		$1,129.07	$1,673.10	$2,648.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.24 / $1,263.91 / $2,516.90	Professional		$972.24	$1,263.91	$2,516.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,596.91 / $1,648.26 / $1,829.11	Professional		$1,596.91	$1,648.26	$1,829.11
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.42 / $1,436.85 / $2,370.98	Professional		$1,026.42	$1,436.85	$2,370.98