Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $5,370.32 / $8,317.64	Facility		$616.60	$5,370.32	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility	50	$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,047.13	Professional		$416.87	$602.56	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $616.60 / $1,584.89	Professional	50	$125.89	$616.60	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $707.95 / $707.95 / $977.24	Professional	50	$707.95	$707.95	$977.24
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 $380.19 / $575.44 / $870.96	Professional		$380.19	$575.44	$870.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $870.96 / $1,288.25	Professional	50	$575.44	$870.96	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,412.54	Facility		$776.25	$1,122.02	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,174.90	Professional		$407.38	$616.60	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $3,388.44	Professional		$436.52	$776.25	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $812.83	Professional		$549.54	$676.08	$812.83
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 $426.58 / $602.56 / $1,023.29	Professional		$426.58	$602.56	$1,023.29