Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,691.53 / $7,413.10	Facility		$162.18	$2,691.53	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $363.08	Professional		$102.33	$169.82	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $251.19	Professional		$120.23	$165.96	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,290.87 / $4,786.30	Facility		$794.33	$2,290.87	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $281.84	Professional		$109.65	$154.88	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $371.54	Professional		$120.23	$181.97	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $251.19	Professional		$128.82	$190.55	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $245.47	Professional		$151.36	$213.80	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,370.32	Facility		$1,047.13	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $316.23	Professional		$120.23	$181.97	$316.23