Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $3,318.64 / $6,915.00	Facility		$932.00	$3,318.64	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.74 / $2,932.56 / $6,326.05	Professional		$168.74	$2,932.56	$6,326.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.78 / $238.78 / $286.01	Professional		$238.78	$238.78	$286.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.82 / $687.61 / $6,189.44	Professional		$203.82	$687.61	$6,189.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,931.18 / $4,931.18 / $4,931.18	Facility		$4,931.18	$4,931.18	$4,931.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $536.65 / $6,817.02	Professional		$211.49	$536.65	$6,817.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $2,903.18 / $16,630.00	Professional		$183.90	$2,903.18	$16,630.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $265.45 / $6,249.10	Professional		$234.34	$265.45	$6,249.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,136.96 / $4,869.72 / $6,959.70	Professional		$3,136.96	$4,869.72	$6,959.70