Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $4,590.00 / $6,915.00	Facility		$60.65	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $115.19 / $244.58	Professional		$54.67	$115.19	$244.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.28 / $172.28 / $245.44	Professional		$172.28	$172.28	$245.44
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 $67.02 / $124.18 / $256.16	Professional		$67.02	$124.18	$256.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $112.84 / $264.83	Professional		$58.42	$112.84	$264.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $145.41 / $190.32	Professional		$65.95	$145.41	$190.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $134.21 / $220.56	Professional		$65.95	$134.21	$220.56
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 $118.09 / $154.99 / $311.72	Professional		$118.09	$154.99	$311.72