Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,548.13 / $7,413.10	Facility		$645.65	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,174.90	Professional		$457.09	$616.60	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $4,786.30	Facility		$794.33	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,122.02	Professional		$501.19	$776.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $851.14	Facility		$645.65	$645.65	$851.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	54	$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,288.25	Professional		$537.03	$776.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $3,890.45	Professional		$562.34	$812.83	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $691.83 / $691.83 / $758.58	Professional	54	$691.83	$691.83	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,148.15	Professional		$776.25	$954.99	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,951.21 / $5,370.32	Facility		$630.96	$2,951.21	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,174.90	Professional		$436.52	$660.69	$1,174.90