Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,630.78 / $7,413.10	Facility		$831.76	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $870.96	Professional		$316.23	$426.58	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $741.31	Professional		$331.13	$346.74	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,187.76 / $4,786.30	Facility		$794.33	$2,187.76	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $977.24	Professional		$354.81	$575.44	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $1,258.93	Facility		$630.96	$645.65	$1,258.93
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	62	$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	AS	$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $977.24	Professional		$363.08	$562.34	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,949.84	Professional		$426.58	$575.44	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $407.38 / $407.38 / $407.38	Professional	62	$407.38	$407.38	$407.38
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	80	$34.67	$34.67	$34.67
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.38 / $17.38 / $17.38	Professional	AS	$17.38	$17.38	$17.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $707.95	Professional		$549.54	$616.60	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $831.76	Professional		$295.12	$446.68	$831.76