Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.08 / $3,164.00 / $6,915.00	Facility		$880.08	$3,164.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.79 / $927.90 / $1,781.55	Professional		$720.79	$927.90	$1,781.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $818.62 / $937.70 / $1,704.88	Professional		$818.62	$937.70	$1,704.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.92 / $1,168.55 / $2,115.85	Professional		$831.92	$1,168.55	$2,115.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.61 / $1,023.79 / $1,881.54	Professional		$706.61	$1,023.79	$1,881.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.11 / $1,080.07 / $1,584.53	Professional		$915.11	$1,080.07	$1,584.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.05 / $1,435.14 / $1,723.15	Professional		$1,195.05	$1,435.14	$1,723.15
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 $832.16 / $1,246.34 / $2,248.80	Professional		$832.16	$1,246.34	$2,248.80