Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,370.32 / $7,413.10	Facility		$707.95	$5,370.32	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,230.27	Professional		$457.09	$676.08	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $891.25 / $2,041.74	Professional	50	$316.23	$891.25	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $676.08 / $1,548.82	Professional	50	$676.08	$676.08	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,570.40 / $4,677.35	Facility		$1,047.13	$2,570.40	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,000.00	Professional		$446.68	$660.69	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $1,000.00 / $1,513.56	Professional	50	$691.83	$1,000.00	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,412.54	Facility		$776.25	$1,047.13	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $1,412.54	Professional		$457.09	$758.58	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $3,715.35	Professional		$478.63	$870.96	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $912.01	Professional		$602.56	$758.58	$912.01
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 $489.78 / $707.95 / $1,258.93	Professional		$489.78	$707.95	$1,258.93