Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,365.16 / $7,413.10	Facility		$758.58	$4,365.16	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,202.26	Professional		$389.05	$562.34	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $776.25	Professional		$407.38	$562.34	$776.25
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 $436.52 / $691.83 / $954.99	Professional		$436.52	$691.83	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $2,187.76	Facility		$724.44	$851.14	$2,187.76
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	52	$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	AS	$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,096.48	Professional		$467.74	$676.08	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $2,344.23	Professional		$446.68	$645.65	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	52	$363.08	$363.08	$363.08
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.60 / $16.60 / $16.60	Professional	AS	$16.60	$16.60	$16.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $758.58	Professional		$645.65	$724.44	$758.58
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 $380.19 / $575.44 / $954.99	Professional		$380.19	$575.44	$954.99