Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $5,370.32 / $9,549.93	Facility		$371.54	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $707.95	Professional		$275.42	$346.74	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $338.84	Professional		$281.84	$281.84	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $630.96	Professional		$288.40	$457.09	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $524.81 / $2,511.89	Facility		$177.83	$524.81	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	54	$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $812.83	Professional		$309.03	$467.74	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $2,454.71	Professional		$363.08	$501.19	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $436.52 / $436.52 / $467.74	Professional	54	$436.52	$436.52	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $724.44	Professional		$489.78	$588.84	$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 $257.04 / $389.05 / $724.44	Professional		$257.04	$389.05	$724.44