Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.04 / $4,014.00 / $6,915.00	Facility		$784.04	$4,014.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.93 / $533.50 / $1,665.20	Professional		$178.93	$533.50	$1,665.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.36 / $315.36 / $315.36	Professional		$315.36	$315.36	$315.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.45 / $580.35 / $1,636.27	Professional		$226.45	$580.35	$1,636.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.13 / $543.53 / $1,750.00	Professional		$231.13	$543.53	$1,750.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $754.79 / $2,188.98	Professional		$195.34	$754.79	$2,188.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $281.97 / $1,228.88	Professional		$252.60	$281.97	$1,228.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.97 / $1,142.53 / $1,941.57	Professional		$680.97	$1,142.53	$1,941.57