Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.85 / $1,591.41 / $3,747.65	Professional		$906.85	$1,591.41	$3,747.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $799.95 / $799.95 / $799.95	Professional		$799.95	$799.95	$799.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.18 / $1,122.15 / $2,354.19	Professional		$764.18	$1,122.15	$2,354.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,409.80 / $2,833.07 / $3,711.60	Professional		$1,409.80	$2,833.07	$3,711.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.49 / $1,804.52 / $29,468.00	Professional		$992.49	$1,804.52	$29,468.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.06 / $1,386.32 / $1,907.02	Professional		$1,171.06	$1,386.32	$1,907.02
United Facility/Professional Professional Modifier Low / Median / High Price $852.35 / $1,203.39 / $2,274.46	Professional		$852.35	$1,203.39	$2,274.46