Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,168.69 / $7,413.10	Facility		$512.86	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,071.52	Professional		$323.59	$501.19	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $645.65	Professional		$371.54	$416.87	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $4,786.30	Facility		$1,071.52	$2,818.38	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $812.83	Professional		$371.54	$537.03	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $1,071.52	Professional		$407.38	$660.69	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,000.00	Professional		$338.84	$524.81	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.18 / $13.18 / $18.20	Professional	AS	$13.18	$13.18	$18.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $5,370.32	Facility		$562.34	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $912.01	Professional		$354.81	$537.03	$912.01