Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,630.78 / $7,413.10	Facility		$416.87	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $707.95	Professional		$275.42	$354.81	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,041.74 / $3,548.13	Facility		$741.31	$2,041.74	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $645.65	Professional		$295.12	$436.52	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $512.86 / $851.14	Facility		$177.83	$512.86	$851.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	54	$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $794.33	Professional		$316.23	$467.74	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $2,344.23	Professional		$354.81	$489.78	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $426.58 / $426.58 / $467.74	Professional	54	$426.58	$426.58	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $707.95	Professional		$478.63	$588.84	$707.95
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 / $707.95	Professional		$257.04	$389.05	$707.95