Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,623.41 / $10,964.78	Facility		$1,862.09	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,090.30	Professional		$1,258.93	$1,584.89	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,025.60 / $12,302.69	Facility		$2,238.72	$6,025.60	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,467.37	Professional		$1,445.44	$2,238.72	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,454.71 / $58,884.37	Facility		$501.19	$2,454.71	$58,884.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,715.35	Professional		$1,479.11	$2,238.72	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $7,762.47	Professional		$1,621.81	$2,238.72	$7,762.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,691.53	Professional		$2,630.27	$2,630.27	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,235.94 / $7,943.28	Facility		$630.96	$3,235.94	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $3,162.28	Professional		$1,148.15	$1,778.28	$3,162.28