Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $4,590.00 / $6,915.00	Facility		$69.26	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $125.80 / $231.82	Professional		$61.72	$125.80	$231.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $245.29	Professional		$135.00	$135.00	$245.29
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 $77.84 / $139.37 / $284.06	Professional		$77.84	$139.37	$284.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $124.18 / $280.45	Professional		$69.41	$124.18	$280.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $153.31 / $256.45	Professional		$73.84	$153.31	$256.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $142.30 / $234.47	Professional		$73.84	$142.30	$234.47
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 $102.51 / $165.07 / $318.26	Professional		$102.51	$165.07	$318.26