Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,548.13 / $7,413.10	Facility		$354.81	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $588.84	Professional		$245.47	$323.59	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $436.52	Professional		$275.42	$275.42	$436.52
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 $257.04 / $398.11 / $562.34	Professional		$257.04	$398.11	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $467.74 / $645.65	Facility		$177.83	$467.74	$645.65
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	54	$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $707.95	Professional		$275.42	$407.38	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $2,137.96	Professional		$316.23	$407.38	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $380.19 / $380.19 / $416.87	Professional	54	$380.19	$380.19	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $549.54 / $645.65	Professional		$537.03	$549.54	$645.65
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 $234.42 / $346.74 / $645.65	Professional		$234.42	$346.74	$645.65