Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,786.30 / $7,413.10	Facility		$851.14	$4,786.30	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,309.57 / $7,943.28 / $13,489.63	Facility	50	$6,309.57	$7,943.28	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,584.89	Professional		$575.44	$851.14	$1,584.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $1,584.89 / $2,511.89	Professional	50	$851.14	$1,584.89	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,288.25	Professional		$977.24	$1,258.93	$1,288.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $776.25 / $870.96 / $1,584.89	Professional	50	$776.25	$870.96	$1,584.89
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 $512.86 / $812.83 / $1,174.90	Professional		$512.86	$812.83	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $1,202.26 / $1,778.28	Professional	50	$794.33	$1,202.26	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,412.54	Facility		$776.25	$1,288.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,737.80	Professional		$549.54	$912.01	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $4,677.35	Professional		$588.84	$977.24	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,513.56 / $1,862.09 / $2,884.03	Professional	22	$1,513.56	$1,862.09	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,096.48	Professional		$758.58	$933.25	$1,096.48
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 $602.56 / $851.14 / $1,445.44	Professional		$602.56	$851.14	$1,445.44