Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,548.13 / $7,413.10	Facility		$407.38	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $630.96	Professional		$275.42	$346.74	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Professional		$436.52	$436.52	$457.09
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 $295.12 / $446.68 / $630.96	Professional		$295.12	$446.68	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $512.86 / $645.65	Facility		$177.83	$512.86	$645.65
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $794.33	Professional		$309.03	$457.09	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $2,344.23	Professional		$354.81	$501.19	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $416.87 / $416.87 / $467.74	Professional	54	$416.87	$416.87	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $724.44	Professional		$467.74	$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 $257.04 / $380.19 / $724.44	Professional		$257.04	$380.19	$724.44