Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $3,391.00 / $6,915.00	Facility		$494.00	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $196.43 / $376.40	Professional		$150.84	$196.43	$376.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.92 / $210.92 / $210.92	Professional		$210.92	$210.92	$210.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $292.79 / $365.36	Professional		$186.81	$292.79	$365.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $238.87 / $2,500.00	Facility		$238.87	$238.87	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.46 / $982.05 / $996.25	Professional		$335.46	$982.05	$996.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.26 / $319.02 / $884.99	Professional		$239.26	$319.02	$884.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $617.58 / $639.64 / $673.99	Professional		$617.58	$639.64	$673.99
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $263.42 / $621.47	Professional		$139.34	$263.42	$621.47