Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,570.88 / $7,413.10	Facility		$1,862.09	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,445.44 / $3,019.95	Professional		$128.82	$1,445.44	$3,019.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional	50	$3,235.94	$3,235.94	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,511.89	Professional		$1,047.13	$1,202.26	$2,511.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional	50	$3,311.31	$3,311.31	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $4,786.30	Facility		$1,071.52	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,174.90 / $2,818.38	Professional		$162.18	$1,174.90	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $1,778.28 / $4,265.80	Professional	50	$251.19	$1,778.28	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $870.96 / $3,311.31	Professional		$169.82	$870.96	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,445.44 / $5,888.44	Professional		$125.89	$1,445.44	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $1,174.90 / $2,570.40	Professional		$120.23	$1,174.90	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,370.32	Facility		$1,047.13	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,445.44 / $3,162.28	Professional		$128.82	$1,445.44	$3,162.28