Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.31 / $4,592.00 / $6,915.00	Facility		$850.31	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.54 / $945.38 / $1,738.56	Professional		$697.54	$945.38	$1,738.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $816.14 / $1,236.98 / $1,659.27	Professional		$816.14	$1,236.98	$1,659.27
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 $819.75 / $1,148.48 / $2,105.42	Professional		$819.75	$1,148.48	$2,105.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.67 / $1,024.28 / $1,914.93	Professional		$691.67	$1,024.28	$1,914.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.77 / $1,078.10 / $2,037.10	Professional		$884.77	$1,078.10	$2,037.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $998.61 / $1,279.99 / $1,559.68	Professional		$998.61	$1,279.99	$1,559.68
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 $919.97 / $1,312.98 / $2,260.96	Professional		$919.97	$1,312.98	$2,260.96