Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,570.88 / $7,413.10	Facility		$549.54	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,174.90	Professional		$354.81	$549.54	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $724.44	Professional		$346.74	$478.63	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,454.71 / $4,786.30	Facility		$1,000.00	$2,454.71	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $794.33	Professional		$371.54	$562.34	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,148.15	Facility		$645.65	$1,000.00	$1,148.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	AS	$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,071.52	Professional		$416.87	$630.96	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $2,951.21	Professional		$416.87	$645.65	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $15.14 / $15.14 / $20.89	Professional	AS	$15.14	$15.14	$20.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,000.00	Professional		$346.74	$549.54	$1,000.00