Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,370.32 / $9,549.93	Facility		$977.24	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,047.13	Professional		$407.38	$549.54	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $912.01	Professional		$426.58	$741.31	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $6,025.60	Facility		$1,230.27	$3,311.31	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,047.13	Professional		$467.74	$724.44	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,122.02	Professional		$426.58	$724.44	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,318.26	Professional		$446.68	$537.03	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.38 / $17.38 / $17.38	Professional	AS	$17.38	$17.38	$17.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
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 $436.52 / $616.60 / $1,000.00	Professional		$436.52	$616.60	$1,000.00