Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $4,590.00 / $6,915.00	Facility		$90.93	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $155.53 / $269.10	Professional		$81.73	$155.53	$269.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $183.95	Professional		$180.00	$180.00	$183.95
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 $100.26 / $172.45 / $349.22	Professional		$100.26	$172.45	$349.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $153.15 / $342.64	Professional		$84.74	$153.15	$342.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $192.23 / $281.44	Professional		$102.48	$192.23	$281.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $177.89 / $294.81	Professional		$102.48	$177.89	$294.81
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 $123.92 / $199.42 / $400.23	Professional		$123.92	$199.42	$400.23