Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,548.13 / $7,413.10	Facility		$234.42	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $489.78	Professional		$177.83	$251.19	$489.78
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $213.80 / $302.00 / $741.31	Professional	54	$213.80	$302.00	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $109.65 / $123.03 / $295.12	Professional	54	$109.65	$123.03	$295.12
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 $173.78 / $275.42 / $389.05	Professional		$173.78	$275.42	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $331.13 / $2,511.89	Facility		$177.83	$331.13	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	54	$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $489.78	Professional		$186.21	$281.84	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $1,479.11	Professional		$229.09	$288.40	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $275.42 / $275.42 / $288.40	Professional	54	$275.42	$275.42	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $446.68	Professional		$309.03	$380.19	$446.68
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 $158.49 / $234.42 / $446.68	Professional		$158.49	$234.42	$446.68