Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,754.40 / $9,549.93	Facility		$3,890.45	$5,754.40	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $6,025.60	Professional		$2,630.27	$3,162.28	$6,025.60
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 $2,630.27 / $4,168.69 / $6,165.95	Professional		$2,630.27	$4,168.69	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $7,943.28	Professional		$2,951.21	$5,011.87	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $7,762.47	Professional		$3,019.95	$3,388.44	$7,762.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
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 $2,691.53 / $3,890.45 / $7,079.46	Professional		$2,691.53	$3,890.45	$7,079.46