Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,754.23 / $7,413.10	Facility		$204.17	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $398.11	Professional		$117.49	$194.98	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $229.09	Professional		$83.18	$151.36	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,290.87 / $4,786.30	Facility		$794.33	$2,290.87	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $354.81	Professional		$147.91	$208.93	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $398.11	Professional		$131.83	$199.53	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $323.59	Professional		$162.18	$234.42	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $295.12	Professional		$204.17	$263.03	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,370.32	Facility		$1,047.13	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $407.38	Professional		$151.36	$234.42	$407.38