Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $9,549.93	Facility		$2,290.87	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $3,162.28	Professional		$1,513.56	$1,819.70	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $9,549.93	Facility		$1,513.56	$4,365.16	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,548.13	Professional		$1,584.89	$2,511.89	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $4,365.16	Professional		$1,819.70	$2,818.38	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,981.07	Professional		$1,659.59	$1,949.84	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,818.38 / $2,884.03	Professional		$2,511.89	$2,818.38	$2,884.03
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 $1,621.81 / $2,290.87 / $4,073.80	Professional		$1,621.81	$2,290.87	$4,073.80