Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,630.78 / $7,413.10	Facility		$1,445.44	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,548.82	Professional		$467.74	$660.69	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $588.84	Professional		$467.74	$467.74	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $6,025.60	Facility		$1,230.27	$3,162.28	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,288.25	Professional		$549.54	$870.96	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $891.25 / $1,659.59	Facility		$851.14	$891.25	$1,659.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,318.26	Professional		$549.54	$831.76	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $4,073.80	Professional		$537.03	$794.33	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.42 / $20.42 / $20.42	Professional	AS	$20.42	$20.42	$20.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,187.76 / $3,467.37	Facility		$426.58	$2,187.76	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,174.90	Professional		$446.68	$707.95	$1,174.90