Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,370.32 / $7,413.10	Facility		$794.33	$5,370.32	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,096.48	Professional		$446.68	$575.44	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,454.71 / $4,677.35	Facility		$1,000.00	$2,454.71	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $891.25	Professional		$380.19	$602.56	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,548.82 / $1,659.59	Facility		$630.96	$1,548.82	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,174.90	Professional		$426.58	$645.65	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $3,630.78	Professional		$446.68	$645.65	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $758.58	Professional		$588.84	$660.69	$758.58
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 $416.87 / $562.34 / $977.24	Professional		$416.87	$562.34	$977.24