Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,495.41 / $9,549.93	Facility		$2,187.76	$5,495.41	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,090.30	Professional		$1,318.26	$1,737.80	$3,090.30
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 $1,174.90 / $3,090.30 / $6,025.60	Facility		$1,174.90	$3,090.30	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,630.27	Professional		$1,096.48	$1,778.28	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,011.87 / $9,772.37	Facility		$1,621.81	$5,011.87	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $3,548.13	Professional		$1,288.25	$1,905.46	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $10,715.19	Professional		$1,288.25	$1,862.09	$10,715.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,187.76	Professional		$1,737.80	$1,995.26	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,248.07 / $8,511.38	Facility		$1,000.00	$5,248.07	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,162.28	Professional		$1,230.27	$1,737.80	$3,162.28