Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.22 / $5,045.00 / $6,915.00	Facility		$1,495.22	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.71 / $1,561.02 / $3,174.61	Professional		$1,283.71	$1,561.02	$3,174.61
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 $1,319.57 / $2,053.98 / $3,603.40	Professional		$1,319.57	$2,053.98	$3,603.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,483.97 / $2,311.65 / $3,724.86	Professional		$1,483.97	$2,311.65	$3,724.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,541.33 / $1,798.22 / $3,499.92	Professional		$1,541.33	$1,798.22	$3,499.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,124.52 / $2,371.92 / $2,543.17	Professional		$2,124.52	$2,371.92	$2,543.17
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 $1,390.23 / $1,988.03 / $3,553.09	Professional		$1,390.23	$1,988.03	$3,553.09