Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,019.95 / $7,413.10	Facility		$630.96	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $1,071.52	Professional		$416.87	$562.34	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $691.83	Professional		$213.80	$331.13	$691.83
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 $446.68 / $707.95 / $977.24	Professional		$446.68	$707.95	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,148.15	Facility		$645.65	$758.58	$1,148.15
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	54	$537.03	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,174.90	Professional		$489.78	$707.95	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $3,467.37	Professional		$537.03	$758.58	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $616.60 / $616.60 / $691.83	Professional	54	$616.60	$616.60	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,122.02	Professional		$691.83	$912.01	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,187.76 / $3,467.37	Facility		$426.58	$2,187.76	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,096.48	Professional		$389.05	$588.84	$1,096.48