Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,623.41 / $10,232.93	Facility		$1,862.09	$5,623.41	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,235.94	Professional		$1,288.25	$1,584.89	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,888.44 / $12,022.64	Facility		$2,238.72	$5,888.44	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $3,162.28	Professional		$1,348.96	$2,187.76	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $3,890.45	Professional		$1,513.56	$2,454.71	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $4,466.84	Professional		$1,513.56	$1,737.80	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,235.94 / $8,128.31	Facility		$1,047.13	$3,235.94	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,467.37	Professional		$1,348.96	$1,905.46	$3,467.37