Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.80 / $646.80 / $646.80	Facility		$646.80	$646.80	$646.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.80 / $707.23 / $874.24	Professional		$646.80	$707.23	$874.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $713.01 / $713.01 / $713.01	Professional		$713.01	$713.01	$713.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.78 / $791.51 / $1,474.27	Professional		$672.78	$791.51	$1,474.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.08 / $1,171.55 / $2,293.98	Professional		$682.08	$1,171.55	$2,293.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.98 / $1,068.24 / $3,891.00	Professional		$944.98	$1,068.24	$3,891.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.29 / $1,256.95 / $1,937.19	Professional		$1,037.29	$1,256.95	$1,937.19
United Facility/Professional Facility Modifier Low / Median / High Price $928.55 / $928.55 / $928.55	Facility		$928.55	$928.55	$928.55
United Facility/Professional Professional Modifier Low / Median / High Price $373.25 / $569.91 / $1,292.74	Professional		$373.25	$569.91	$1,292.74