Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.91 / $5,045.00 / $6,915.00	Facility		$1,149.91	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.91 / $1,523.06 / $3,795.61	Professional		$1,149.91	$1,523.06	$3,795.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,472.76 / $14,965.63	Facility		$1,732.27	$6,472.76	$14,965.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,420.08 / $2,111.21 / $3,717.37	Professional		$1,420.08	$2,111.21	$3,717.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.09 / $2,381.16 / $3,837.14	Professional		$1,507.09	$2,381.16	$3,837.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.90 / $1,823.77 / $3,196.24	Professional		$1,402.90	$1,823.77	$3,196.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.41 / $2,272.69 / $2,595.36	Professional		$2,244.41	$2,272.69	$2,595.36
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.86 / $1,898.72 / $3,211.15	Professional		$1,435.86	$1,898.72	$3,211.15