Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $9,549.93	Facility		$2,570.40	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $4,570.88	Professional		$1,659.59	$2,137.96	$4,570.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,888.44 / $12,022.64	Facility		$2,238.72	$5,888.44	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $3,981.07	Professional		$1,862.09	$2,951.21	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $4,897.79	Professional		$1,995.26	$2,884.03	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $8,709.64	Professional		$1,905.46	$2,187.76	$8,709.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,235.94 / $8,128.31	Facility		$1,047.13	$3,235.94	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $5,011.87	Professional		$1,778.28	$2,511.89	$5,011.87