Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,570.88 / $7,762.47	Facility		$645.65	$4,570.88	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $5,370.32 / $12,022.64	Facility	50	$2,691.53	$5,370.32	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,096.48	Professional		$371.54	$549.54	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $870.96	Professional		$288.40	$549.54	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $6,025.60	Facility		$1,174.90	$2,818.38	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,047.13	Professional		$416.87	$616.60	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $9,772.37	Facility		$4,168.69	$7,244.36	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,174.90	Professional		$457.09	$724.44	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,000.00	Professional		$416.87	$630.96	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,230.27	Professional		$446.68	$776.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,071.52	Professional		$426.58	$602.56	$1,071.52