Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,760.83 / $19,498.45	Facility		$616.60	$6,760.83	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $5,495.41	Professional		$588.84	$616.60	$5,495.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $891.25	Professional		$177.83	$446.68	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $3,467.37	Facility		$346.74	$346.74	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $724.44	Professional		$630.96	$691.83	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $933.25	Facility		$616.60	$758.58	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $2,041.74	Professional		$645.65	$645.65	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $10,000.00	Facility		$7,585.78	$9,120.11	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $645.65 / $912.01	Facility		$331.13	$645.65	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $630.96 / $758.58	Professional		$616.60	$630.96	$758.58