Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $4,700.00 / $7,421.00	Facility		$984.00	$4,700.00	$7,421.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,733.00 / $5,733.00 / $5,733.00	Facility	50	$5,733.00	$5,733.00	$5,733.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $152.99 / $182.67 / $295.11	Facility	52	$152.99	$182.67	$295.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.19 / $73.06 / $118.05	Facility	53	$61.19	$73.06	$118.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $357.63 / $666.22	Professional		$299.44	$357.63	$666.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $527.44 / $527.44 / $527.44	Professional		$527.44	$527.44	$527.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.14 / $446.10 / $844.10	Professional		$295.14	$446.10	$844.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $6,918.00 / $9,852.00	Facility		$2,090.96	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.79 / $505.29 / $818.61	Professional		$348.79	$505.29	$818.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.49 / $381.54 / $762.82	Professional		$293.49	$381.54	$762.82
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $722.66 / $722.66 / $722.66	Professional	22	$722.66	$722.66	$722.66
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $210.78 / $210.78 / $210.78	Professional	52	$210.78	$210.78	$210.78
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $210.78 / $210.78 / $210.78	Professional	53	$210.78	$210.78	$210.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $440.07 / $452.78 / $487.19	Professional		$440.07	$452.78	$487.19
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 $314.08 / $463.83 / $784.47	Professional		$314.08	$463.83	$784.47