Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.98 / $5,045.00 / $6,915.00	Facility		$2,327.98	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.93 / $2,451.37 / $4,887.63	Professional		$1,987.93	$2,451.37	$4,887.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,143.17 / $3,276.55 / $6,216.05	Professional		$2,143.17	$3,276.55	$6,216.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,424.82 / $3,686.10 / $6,065.23	Professional		$2,424.82	$3,686.10	$6,065.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,219.66 / $2,825.02 / $6,806.11	Professional		$2,219.66	$2,825.02	$6,806.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,070.12 / $3,733.06 / $9,087.07	Professional		$3,070.12	$3,733.06	$9,087.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,587.00 / $8,133.00	Facility		$1,269.00	$3,587.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,185.67 / $3,183.32 / $5,531.80	Professional		$2,185.67	$3,183.32	$5,531.80