Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $9,549.93	Facility		$2,884.03	$5,623.41	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,235.94	Professional		$1,122.02	$1,445.44	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,888.44 / $12,022.64	Facility		$2,238.72	$5,888.44	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,090.30	Professional		$1,380.38	$2,137.96	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $3,467.37	Professional		$1,202.26	$2,137.96	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $4,677.35	Professional		$1,174.90	$1,479.11	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,918.31 / $12,022.64	Facility		$1,737.80	$6,918.31	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,884.03	Professional		$1,288.25	$1,778.28	$2,884.03