Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.37 / $3,447.20 / $6,915.00	Facility		$466.37	$3,447.20	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $1,064.08 / $2,339.27	Professional		$262.95	$1,064.08	$2,339.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $251.86 / $251.86	Professional		$251.86	$251.86	$251.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.84 / $872.74 / $2,551.23	Professional		$350.84	$872.74	$2,551.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $459.52	Facility		$459.52	$459.52	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $755.92 / $2,757.40	Professional		$325.73	$755.92	$2,757.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.48 / $1,196.10 / $5,067.00	Professional		$316.48	$1,196.10	$5,067.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $1,142.74 / $2,039.74	Professional		$296.08	$1,142.74	$2,039.74
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.06 / $1,648.80 / $2,956.62	Professional		$1,056.06	$1,648.80	$2,956.62