Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $4,168.69 / $7,413.10	Facility		$398.11	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $758.58	Professional		$288.40	$389.05	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $389.05	Professional		$223.87	$309.03	$389.05
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 $302.00 / $467.74 / $676.08	Professional		$302.00	$467.74	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $2,511.89	Facility		$524.81	$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 $316.23 / $478.63 / $812.83	Professional		$316.23	$478.63	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $2,398.83	Professional		$363.08	$524.81	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $436.52 / $436.52 / $489.78	Professional	54	$436.52	$436.52	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $758.58	Professional		$489.78	$616.60	$758.58
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 $269.15 / $407.38 / $741.31	Professional		$269.15	$407.38	$741.31