Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,630.78 / $7,413.10	Facility		$398.11	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $724.44	Professional		$281.84	$389.05	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $741.31	Professional		$190.55	$323.59	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,548.13	Facility		$741.31	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $660.69	Professional		$295.12	$467.74	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $549.54 / $645.65	Facility		$177.83	$549.54	$645.65
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	54	$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $812.83	Professional		$316.23	$478.63	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $2,511.89	Professional		$371.54	$501.19	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $457.09 / $457.09 / $478.63	Professional	54	$457.09	$457.09	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $630.96 / $724.44	Professional		$616.60	$630.96	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $741.31	Professional		$263.03	$398.11	$741.31