Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.75 / $2,950.00 / $6,915.00	Facility		$695.75	$2,950.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $121.09 / $701.40 / $1,178.50	Facility	52	$121.09	$701.40	$1,178.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $814.17 / $2,522.78	Professional		$214.72	$814.17	$2,522.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $373.88 / $2,111.32	Professional		$308.00	$373.88	$2,111.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $775.05 / $1,892.91	Professional		$283.02	$775.05	$1,892.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.12 / $2,034.12 / $2,034.12	Facility		$2,034.12	$2,034.12	$2,034.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.11 / $643.98 / $2,535.69	Professional		$299.11	$643.98	$2,535.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.35 / $1,269.27 / $6,197.00	Professional		$232.35	$1,269.27	$6,197.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $147.63 / $147.63 / $806.44	Professional	52	$147.63	$147.63	$806.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $349.06 / $1,800.06 / $2,134.67	Professional		$349.06	$1,800.06	$2,134.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.89 / $1,420.22 / $2,850.34	Professional		$963.89	$1,420.22	$2,850.34