Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,168.69 / $7,413.10	Facility		$288.40	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $645.65	Professional		$151.36	$316.23	$645.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $776.25 / $1,202.26	Professional	50	$213.80	$776.25	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $501.19	Professional		$213.80	$338.84	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,238.72 / $4,786.30	Facility		$758.58	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $363.08	Professional		$154.88	$213.80	$363.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $323.59 / $537.03	Professional	50	$239.88	$323.59	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $407.38	Facility		$194.98	$239.88	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $630.96	Professional		$165.96	$309.03	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $1,230.27	Professional		$158.49	$363.08	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $416.87	Professional		$199.53	$346.74	$416.87
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 $162.18 / $281.84 / $524.81	Professional		$162.18	$281.84	$524.81