Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.49 / $5,045.00 / $6,915.00	Facility		$1,873.49	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.64 / $1,946.27 / $4,332.92	Professional		$1,616.64	$1,946.27	$4,332.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.08 / $7,591.82 / $21,232.89	Facility		$2,439.08	$7,591.82	$21,232.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,644.08 / $2,559.58 / $4,501.16	Professional		$1,644.08	$2,559.58	$4,501.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.81 / $3,138.98 / $4,747.26	Professional		$1,854.81	$3,138.98	$4,747.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,939.34 / $2,262.57 / $5,374.26	Professional		$1,939.34	$2,262.57	$5,374.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,667.28 / $2,751.93 / $3,041.47	Professional		$2,667.28	$2,751.93	$3,041.47
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 $1,736.62 / $2,442.44 / $4,942.30	Professional		$1,736.62	$2,442.44	$4,942.30