Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,981.07 / $7,413.10	Facility		$831.76	$3,981.07	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility	50	$4,897.79	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,148.15	Professional		$398.11	$537.03	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $954.99	Professional		$288.40	$512.86	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,754.23 / $6,025.60	Facility		$1,071.52	$2,754.23	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,122.02	Professional		$457.09	$691.83	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $9,772.37	Facility		$4,168.69	$7,244.36	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,202.26	Professional		$478.63	$776.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $851.14	Professional		$389.05	$616.60	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,174.90	Professional		$416.87	$741.31	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,096.48	Professional		$436.52	$616.60	$1,096.48