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 $562.34 / $794.33 / $1,445.44	Professional		$562.34	$794.33	$1,445.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $1,445.44 / $2,137.96	Professional	50	$1,148.15	$1,445.44	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $977.24 / $1,174.90	Professional		$933.25	$977.24	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,187.76 / $4,677.35	Facility		$758.58	$2,187.76	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,148.15	Professional		$478.63	$776.25	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $724.44 / $1,174.90 / $1,698.24	Professional	50	$724.44	$1,174.90	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $676.08	Facility		$407.38	$537.03	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,584.89	Professional		$549.54	$831.76	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $4,677.35	Professional		$616.60	$933.25	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $724.44 / $831.76 / $1,288.25	Professional	54	$724.44	$831.76	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier 55 Low / Median / High Price $51.29 / $58.88 / $91.20	Professional	55	$51.29	$58.88	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,884.03 / $5,248.07	Facility		$524.81	$2,884.03	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,380.38	Professional		$588.84	$812.83	$1,380.38