Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,162.28 / $7,413.10	Facility		$691.83	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,479.11	Professional		$489.78	$758.58	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $323.59 / $426.58	Professional		$295.12	$323.59	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,691.53 / $6,025.60	Facility		$1,071.52	$2,691.53	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,174.90	Professional		$549.54	$831.76	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $851.14	Facility		$831.76	$831.76	$851.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	AS	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,548.82	Professional		$616.60	$933.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $3,801.89	Professional		$512.86	$831.76	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $38.02 / $38.02 / $53.70	Professional	80	$38.02	$38.02	$53.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.05 / $19.05 / $26.92	Professional	AS	$19.05	$19.05	$26.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,380.38	Professional		$501.19	$870.96	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,623.41 / $8,511.38	Facility		$1,513.56	$5,623.41	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,412.54	Professional		$501.19	$812.83	$1,412.54