Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.33 / $3,706.20 / $6,915.00	Facility		$575.33	$3,706.20	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.05 / $1,685.28 / $3,553.83	Professional		$320.05	$1,685.28	$3,553.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.37 / $320.31 / $320.31	Professional		$212.37	$320.31	$320.31
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 $427.26 / $1,131.11 / $4,284.60	Professional		$427.26	$1,131.11	$4,284.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $569.66	Facility		$569.66	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.72 / $906.85 / $4,527.34	Professional		$390.72	$906.85	$4,527.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.19 / $2,088.06 / $4,502.45	Professional		$394.19	$2,088.06	$4,502.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.36 / $2,001.06 / $3,726.66	Professional		$368.36	$2,001.06	$3,726.66
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 $490.85 / $2,493.48 / $4,818.72	Professional		$490.85	$2,493.48	$4,818.72