Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $3,612.00 / $6,915.00	Facility		$310.87	$3,612.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $310.87 / $652.11	Professional		$212.77	$310.87	$652.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $272.61 / $533.48	Professional		$156.97	$272.61	$533.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.70 / $352.77 / $648.39	Professional		$247.70	$352.77	$648.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.06 / $305.94 / $605.76	Professional		$205.06	$305.94	$605.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.19 / $345.33 / $436.41	Professional		$271.19	$345.33	$436.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.37 / $383.38 / $537.91	Professional		$257.37	$383.38	$537.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $379.51 / $719.02	Professional		$266.95	$379.51	$719.02