Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.28 / $6,705.00 / $12,913.60	Facility		$970.28	$6,705.00	$12,913.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $134.71 / $251.65 / $758.74	Facility	52	$134.71	$251.65	$758.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.55 / $693.88 / $2,815.61	Professional		$229.55	$693.88	$2,815.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $123.69 / $396.66 / $818.57	Professional	52	$123.69	$396.66	$818.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.03 / $1,006.65 / $2,126.17	Professional		$241.03	$1,006.65	$2,126.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $6,550.61 / $25,198.09	Facility		$1,860.62	$6,550.61	$25,198.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.87 / $965.68 / $2,401.25	Professional		$294.87	$965.68	$2,401.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,635.00 / $15,635.00 / $15,635.00	Facility		$15,635.00	$15,635.00	$15,635.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.43 / $811.72 / $2,629.51	Professional		$307.43	$811.72	$2,629.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $1,224.50 / $5,067.00	Professional		$275.45	$1,224.50	$5,067.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,164.00 / $5,164.00 / $5,737.48	Facility		$5,164.00	$5,164.00	$5,737.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $1,057.52 / $2,148.44	Professional		$248.73	$1,057.52	$2,148.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,280.18 / $1,817.10 / $2,912.87	Professional		$1,280.18	$1,817.10	$2,912.87