Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.60 / $4,306.00 / $6,915.00	Facility		$692.60	$4,306.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $748.31 / $1,480.39	Professional		$562.34	$748.31	$1,480.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,408.37 / $1,408.37 / $1,408.37	Professional		$1,408.37	$1,408.37	$1,408.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.39 / $913.59 / $1,696.22	Professional		$652.39	$913.59	$1,696.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.16 / $810.41 / $1,534.34	Professional		$543.16	$810.41	$1,534.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.73 / $880.23 / $1,202.73	Professional		$711.73	$880.23	$1,202.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $834.67 / $1,032.27 / $1,331.45	Professional		$834.67	$1,032.27	$1,331.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.99 / $1,031.20 / $1,832.72	Professional		$699.99	$1,031.20	$1,832.72