Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $3,630.78 / $7,413.10	Facility		$269.15	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $407.38	Professional		$125.89	$190.55	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $446.68 / $812.83	Professional	50	$245.47	$446.68	$812.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	50	$416.87	$416.87	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,819.70 / $3,548.13	Facility		$724.44	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $323.59	Professional		$128.82	$199.53	$323.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $295.12 / $478.63	Professional	50	$194.98	$295.12	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $407.38	Facility		$162.18	$204.17	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $407.38	Professional		$131.83	$251.19	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $1,000.00	Professional		$131.83	$229.09	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $239.88	Professional		$162.18	$204.17	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,348.96 / $2,454.71	Facility		$109.65	$1,348.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $363.08	Professional		$128.82	$213.80	$363.08