Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,801.89 / $7,079.46	Facility		$676.08	$3,801.89	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $371.54 / $812.83	Professional		$169.82	$371.54	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $331.13	Professional		$100.00	$114.82	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $11,220.18	Facility		$1,288.25	$3,890.45	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $741.31	Professional		$239.88	$371.54	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,000.00 / $6,606.93	Facility		$309.03	$1,000.00	$6,606.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	AS	$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $831.76	Professional		$234.42	$467.74	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $446.68 / $1,445.44	Professional		$181.97	$446.68	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $14.13 / $14.13 / $29.51	Professional	80	$14.13	$14.13	$29.51
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $7.08 / $7.08 / $14.79	Professional	AS	$7.08	$7.08	$14.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $575.44 / $758.58	Professional		$275.42	$575.44	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,623.41 / $8,511.38	Facility		$1,513.56	$5,623.41	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $416.87 / $851.14	Professional		$190.55	$416.87	$851.14