Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.93 / $5,045.00 / $6,915.00	Facility		$1,257.93	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.72 / $1,258.66 / $2,683.24	Professional		$1,087.72	$1,258.66	$2,683.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.31 / $1,713.45 / $3,016.29	Professional		$1,093.31	$1,713.45	$3,016.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.90 / $2,026.20 / $3,150.43	Professional		$1,200.90	$2,026.20	$3,150.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.63 / $1,520.90 / $3,328.11	Professional		$1,303.63	$1,520.90	$3,328.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,789.27 / $1,903.45 / $2,150.98	Professional		$1,789.27	$1,903.45	$2,150.98
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 $1,163.73 / $1,664.13 / $2,945.33	Professional		$1,163.73	$1,664.13	$2,945.33