Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.75 / $4,590.00 / $6,915.00	Facility		$747.75	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.74 / $1,549.98 / $3,449.46	Professional		$357.74	$1,549.98	$3,449.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.50 / $2,645.98 / $3,171.65	Professional		$616.50	$2,645.98	$3,171.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.07 / $1,196.58 / $3,384.92	Professional		$445.07	$1,196.58	$3,384.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.89 / $1,066.73 / $3,810.53	Professional		$474.89	$1,066.73	$3,810.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.47 / $1,523.86 / $3,366.00	Professional		$398.47	$1,523.86	$3,366.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $551.74 / $2,137.55 / $2,724.75	Professional		$551.74	$2,137.55	$2,724.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,624.47 / $2,469.73 / $4,111.43	Professional		$1,624.47	$2,469.73	$4,111.43