Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,388.44 / $7,413.10	Facility		$190.55	$3,388.44	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $380.19	Professional		$134.90	$177.83	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $213.80	Professional		$151.36	$151.36	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $309.03	Professional		$141.25	$218.78	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $2,511.89	Facility		$151.36	$245.47	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $389.05	Professional		$154.88	$223.87	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $1,122.02	Professional		$162.18	$218.78	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $199.53 / $199.53 / $229.09	Professional	54	$199.53	$199.53	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $302.00	Professional		$229.09	$257.04	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $338.84	Professional		$125.89	$190.55	$338.84