Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.71 / $1,887.30 / $1,887.30	Facility		$740.71	$1,887.30	$1,887.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.71 / $816.15 / $2,616.01	Professional		$740.71	$816.15	$2,616.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,093.48 / $1,093.48 / $1,556.98	Professional		$1,093.48	$1,093.48	$1,556.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.80 / $617.85 / $1,021.02	Facility		$408.80	$617.85	$1,021.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.18 / $1,058.98 / $1,863.32	Professional		$847.18	$1,058.98	$1,863.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.00 / $2,155.29 / $2,582.59	Facility		$316.00	$2,155.29	$2,582.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.84 / $2,585.32 / $2,767.59	Professional		$1,253.84	$2,585.32	$2,767.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.11 / $1,692.32 / $4,415.00	Professional		$1,167.11	$1,692.32	$4,415.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.97 / $1,771.45 / $2,022.72	Professional		$1,635.97	$1,771.45	$2,022.72
United Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $1,212.15 / $2,414.51	Professional		$102.40	$1,212.15	$2,414.51