Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.61 / $3,460.00 / $10,897.00	Facility		$742.61	$3,460.00	$10,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $425.66 / $1,358.85	Professional		$143.41	$425.66	$1,358.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $261.77 / $960.48	Professional		$148.05	$261.77	$960.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,355.86 / $21,418.38 / $27,623.27	Facility		$9,355.86	$21,418.38	$27,623.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $484.30 / $1,349.26	Professional		$176.50	$484.30	$1,349.26
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 $177.50 / $423.66 / $1,524.01	Professional		$177.50	$423.66	$1,524.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $600.29 / $1,814.00	Professional		$169.20	$600.29	$1,814.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $498.98 / $969.57	Professional		$152.27	$498.98	$969.57
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 $708.29 / $1,049.90 / $1,796.48	Professional		$708.29	$1,049.90	$1,796.48