Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.74 / $3,460.00 / $6,915.00	Facility		$490.74	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.47 / $512.85 / $1,025.64	Professional		$340.47	$512.85	$1,025.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $820.75 / $820.75 / $820.75	Professional		$820.75	$820.75	$820.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.66 / $500.42 / $907.09	Professional		$336.66	$500.42	$907.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.64 / $680.26 / $1,091.08	Professional		$409.64	$680.26	$1,091.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.53 / $533.26 / $1,569.00	Professional		$368.53	$533.26	$1,569.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.29 / $13.29 / $18.39	Professional	AS	$13.29	$13.29	$18.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $829.25 / $829.25 / $834.67	Professional		$829.25	$829.25	$834.67
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.01 / $630.71 / $1,064.48	Professional		$439.01	$630.71	$1,064.48