Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.16 / $3,360.00 / $6,915.00	Facility		$137.16	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $132.74 / $293.44	Professional		$49.19	$132.74	$293.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $283.95 / $283.95	Professional		$283.95	$283.95	$283.95
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 $62.81 / $137.49 / $270.88	Professional		$62.81	$137.49	$270.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $120.27 / $292.26	Professional		$51.79	$120.27	$292.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $163.54 / $490.00	Professional		$60.67	$163.54	$490.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $139.69 / $243.60	Professional		$60.66	$139.69	$243.60
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $202.36 / $384.59	Professional		$132.52	$202.36	$384.59