Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $4,590.00 / $6,915.00	Facility		$67.48	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $129.08 / $248.96	Professional		$62.00	$129.08	$248.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $136.54 / $227.11	Professional		$103.26	$136.54	$227.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $137.87 / $287.73	Professional		$74.38	$137.87	$287.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $124.82 / $286.44	Professional		$64.17	$124.82	$286.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $161.16 / $238.39	Professional		$76.75	$161.16	$238.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $148.50 / $245.75	Professional		$76.75	$148.50	$245.75
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $172.12 / $335.57	Professional		$119.43	$172.12	$335.57