Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,890.45 / $7,413.10	Facility		$794.33	$3,890.45	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,318.26	Professional		$426.58	$676.08	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $213.80 / $416.87	Professional		$28.84	$213.80	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,754.23 / $6,025.60	Facility		$1,174.90	$2,754.23	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,071.52	Professional		$489.78	$758.58	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,187.76	Facility		$794.33	$1,000.00	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	AS	$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,348.96	Professional		$537.03	$812.83	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $3,630.78	Professional		$501.19	$794.33	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $37.15 / $37.15 / $51.29	Professional	80	$37.15	$37.15	$51.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $18.62 / $18.62 / $25.70	Professional	AS	$18.62	$18.62	$25.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,288.25	Professional		$724.44	$1,000.00	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,623.41 / $8,511.38	Facility		$1,513.56	$5,623.41	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,258.93	Professional		$457.09	$707.95	$1,258.93