Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,630.78 / $7,413.10	Facility		$426.58	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $741.31	Professional		$288.40	$371.54	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $281.84	Professional		$190.55	$190.55	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,548.13	Facility		$741.31	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $660.69	Professional		$302.00	$457.09	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $524.81 / $645.65	Facility		$177.83	$524.81	$645.65
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 / $501.19 / $2,454.71	Professional		$363.08	$501.19	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $436.52 / $436.52 / $478.63	Professional	54	$436.52	$436.52	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $724.44	Professional		$489.78	$602.56	$724.44
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 / $398.11 / $741.31	Professional		$269.15	$398.11	$741.31