Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.40 / $4,306.00 / $6,915.00	Facility		$740.40	$4,306.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.23 / $809.37 / $1,577.05	Professional		$608.23	$809.37	$1,577.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,483.39 / $1,483.39 / $1,483.39	Professional		$1,483.39	$1,483.39	$1,483.39
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 $714.19 / $985.38 / $1,828.46	Professional		$714.19	$985.38	$1,828.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.41 / $883.12 / $1,653.33	Professional		$596.41	$883.12	$1,653.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.42 / $940.75 / $1,474.18	Professional		$769.42	$940.75	$1,474.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $883.47 / $1,113.09 / $1,368.26	Professional		$883.47	$1,113.09	$1,368.26
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 $780.77 / $1,139.63 / $1,905.93	Professional		$780.77	$1,139.63	$1,905.93