Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,370.32 / $9,549.93	Facility		$1,995.26	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,754.23	Professional		$1,258.93	$1,548.82	$2,754.23
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 $1,230.27 / $2,137.96 / $3,019.95	Professional		$1,230.27	$2,137.96	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,715.35	Professional		$1,513.56	$2,187.76	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,467.37	Professional		$1,318.26	$1,584.89	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $2,511.89	Professional		$2,238.72	$2,511.89	$2,511.89
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 $1,380.38 / $1,949.84 / $3,467.37	Professional		$1,380.38	$1,949.84	$3,467.37