Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.01 / $5,045.00 / $6,915.00	Facility		$1,407.01	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.66 / $1,547.05 / $3,077.19	Professional		$1,226.66	$1,547.05	$3,077.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,374.25 / $1,998.95 / $3,925.23	Professional		$1,374.25	$1,998.95	$3,925.23
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 $1,455.63 / $2,336.19 / $4,186.06	Professional		$1,455.63	$2,336.19	$4,186.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.34 / $1,957.68 / $3,709.50	Professional		$1,398.34	$1,957.68	$3,709.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,550.40 / $2,550.40 / $2,586.92	Professional		$2,550.40	$2,550.40	$2,586.92
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 $1,428.81 / $1,859.40 / $3,623.02	Professional		$1,428.81	$1,859.40	$3,623.02