Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,786.30 / $7,413.10	Facility		$575.44	$4,786.30	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $954.99	Professional		$316.23	$501.19	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $416.87 / $870.96	Professional		$165.96	$416.87	$870.96
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 $354.81 / $537.03 / $776.25	Professional		$354.81	$537.03	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,000.00 / $2,187.76	Facility		$575.44	$1,000.00	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $954.99	Professional		$389.05	$588.84	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $2,630.27	Professional		$354.81	$575.44	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $851.14	Professional		$524.81	$741.31	$851.14
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 $331.13 / $524.81 / $933.25	Professional		$331.13	$524.81	$933.25