Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,370.32 / $9,549.93	Facility		$1,479.11	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,949.84	Professional		$891.25	$1,148.15	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,897.79 / $10,232.93	Facility		$1,737.80	$4,897.79	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,454.71	Professional		$1,047.13	$1,698.24	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,754.23	Professional		$977.24	$1,737.80	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,511.89	Professional		$954.99	$1,202.26	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,754.40 / $8,511.38	Facility		$1,513.56	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,344.23	Professional		$1,023.29	$1,412.54	$2,344.23