Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,623.41 / $9,549.93	Facility		$812.83	$5,623.41	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,348.96	Professional		$478.63	$741.31	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,122.02	Professional		$398.11	$489.78	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $4,677.35	Facility		$1,071.52	$2,884.03	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $912.01	Professional		$416.87	$630.96	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,412.54	Facility		$891.25	$1,122.02	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,513.56	Professional		$478.63	$776.25	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $3,715.35	Professional		$478.63	$891.25	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $575.44 / $794.33 / $1,230.27	Professional	54	$575.44	$794.33	$1,230.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,148.15	Professional		$562.34	$831.76	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $6,918.31	Facility		$1,122.02	$3,981.07	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,258.93	Professional		$478.63	$724.44	$1,258.93