Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.66 / $3,018.00 / $6,915.00	Facility		$615.66	$3,018.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.31 / $889.73 / $1,678.79	Professional		$350.31	$889.73	$1,678.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.58 / $311.58 / $604.19	Professional		$311.58	$311.58	$604.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,795.56 / $6,315.83	Facility		$776.14	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.36 / $887.00 / $1,889.37	Professional		$448.36	$887.00	$1,889.37
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 $419.53 / $924.77 / $2,011.35	Professional		$419.53	$924.77	$2,011.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $905.23 / $1,905.90	Professional		$386.00	$905.23	$1,905.90
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $826.48 / $826.48 / $2,026.33	Professional	22	$826.48	$826.48	$2,026.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $503.86 / $557.17 / $1,468.65	Professional		$503.86	$557.17	$1,468.65
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 $898.45 / $1,434.59 / $2,277.29	Professional		$898.45	$1,434.59	$2,277.29