Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,186.04 / $5,045.00 / $6,915.00	Facility		$2,186.04	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,870.47 / $2,272.54 / $4,243.42	Professional		$1,870.47	$2,272.54	$4,243.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,882.87 / $3,000.03 / $5,446.06	Professional		$1,882.87	$3,000.03	$5,446.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,117.59 / $3,299.60 / $5,493.49	Professional		$2,117.59	$3,299.60	$5,493.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,242.87 / $2,616.67 / $9,624.04	Professional		$2,242.87	$2,616.67	$9,624.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,088.93 / $3,278.08 / $3,700.73	Professional		$3,088.93	$3,278.08	$3,700.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,021.81 / $2,832.24 / $4,518.83	Professional		$2,021.81	$2,832.24	$4,518.83