Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,090.30 / $7,413.10	Facility		$630.96	$3,090.30	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,174.90	Professional		$354.81	$575.44	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,122.02	Professional		$338.84	$562.34	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $6,025.60	Facility		$1,000.00	$2,630.27	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $870.96	Professional		$389.05	$602.56	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $2,187.76	Facility		$660.69	$851.14	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	AS	$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,122.02	Professional		$436.52	$676.08	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $3,019.95	Professional		$416.87	$691.83	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $30.90 / $30.90 / $43.65	Professional	80	$30.90	$30.90	$43.65
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $15.14 / $15.14 / $21.88	Professional	AS	$15.14	$15.14	$21.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,000.00	Professional		$602.56	$870.96	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,168.69 / $6,918.31	Facility		$1,202.26	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,071.52	Professional		$363.08	$602.56	$1,071.52