Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,570.88 / $7,413.10	Facility		$870.96	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,318.26	Professional		$426.58	$645.65	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $812.83	Professional		$79.43	$416.87	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,754.23 / $6,025.60	Facility		$1,174.90	$2,754.23	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,047.13	Professional		$489.78	$758.58	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,187.76	Facility		$758.58	$1,000.00	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	AS	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,288.25	Professional		$524.81	$794.33	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $3,467.37	Professional		$467.74	$741.31	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $34.67 / $34.67 / $45.71	Professional	80	$34.67	$34.67	$45.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.38 / $17.38 / $22.91	Professional	AS	$17.38	$17.38	$22.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,047.13	Professional		$676.08	$891.25	$1,047.13
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 $446.68 / $691.83 / $1,202.26	Professional		$446.68	$691.83	$1,202.26