Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.31 / $4,592.00 / $6,915.00	Facility		$789.31	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.01 / $879.78 / $1,681.23	Professional		$671.01	$879.78	$1,681.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $773.39 / $1,105.94 / $1,537.23	Professional		$773.39	$1,105.94	$1,537.23
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 $759.62 / $1,069.57 / $1,957.72	Professional		$759.62	$1,069.57	$1,957.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.04 / $957.88 / $1,782.52	Professional		$646.04	$957.88	$1,782.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.48 / $1,000.02 / $1,739.11	Professional		$825.48	$1,000.02	$1,739.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $932.99 / $1,191.01 / $1,446.71	Professional		$932.99	$1,191.01	$1,446.71
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 $808.93 / $1,210.63 / $2,082.13	Professional		$808.93	$1,210.63	$2,082.13