Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $4,590.00 / $6,915.00	Facility		$49.51	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $100.44 / $208.56	Professional		$49.51	$100.44	$208.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $192.38 / $209.31	Professional		$112.74	$192.38	$209.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $109.06 / $205.63	Professional		$61.70	$109.06	$205.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $97.18 / $216.41	Professional		$51.97	$97.18	$216.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $124.01 / $134.71	Professional		$55.90	$124.01	$134.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $112.74 / $191.08	Professional		$60.49	$112.74	$191.08
United Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $1,550.00 / $2,506.00	Facility		$389.00	$1,550.00	$2,506.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $128.59 / $258.20	Professional		$89.79	$128.59	$258.20