Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $4,590.00 / $6,915.00	Facility		$70.70	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $130.47 / $238.94	Professional		$64.37	$130.47	$238.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $264.23 / $264.23	Professional		$207.51	$264.23	$264.23
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 $75.73 / $138.07 / $284.92	Professional		$75.73	$138.07	$284.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $126.37 / $292.30	Professional		$64.25	$126.37	$292.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $165.09 / $211.48	Professional		$79.95	$165.09	$211.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $152.16 / $251.27	Professional		$79.95	$152.16	$251.27
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 $122.07 / $170.65 / $343.73	Professional		$122.07	$170.65	$343.73