Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,370.32 / $9,549.93	Facility		$2,398.83	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,548.13	Professional		$1,445.44	$1,778.28	$3,548.13
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 $1,479.11 / $2,570.40 / $3,467.37	Professional		$1,479.11	$2,570.40	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,265.80	Professional		$1,737.80	$2,570.40	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $4,570.88	Professional		$1,584.89	$1,862.09	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$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 $1,584.89 / $2,290.87 / $3,981.07	Professional		$1,584.89	$2,290.87	$3,981.07