Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.50 / $5,063.00 / $7,421.00	Facility		$890.50	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $518.85 / $1,091.36	Professional		$412.16	$518.85	$1,091.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $546.99 / $610.10 / $631.14	Professional		$546.99	$610.10	$631.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.14 / $663.83 / $1,205.75	Professional		$443.14	$663.83	$1,205.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.23 / $1,518.23 / $1,518.23	Facility		$1,518.23	$1,518.23	$1,518.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.23 / $746.71 / $1,144.26	Professional		$507.23	$746.71	$1,144.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.27 / $573.65 / $2,094.00	Professional		$441.27	$573.65	$2,094.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.50 / $17.50 / $17.50	Professional	AS	$17.50	$17.50	$17.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $779.93 / $779.93 / $794.28	Professional		$779.93	$779.93	$794.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.62 / $628.91 / $1,001.18	Professional		$456.62	$628.91	$1,001.18