Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.52 / $3,460.00 / $6,915.00	Facility		$124.52	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $135.81 / $255.87	Professional		$90.42	$135.81	$255.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $132.10 / $238.44	Professional		$128.40	$132.10	$238.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $153.30 / $279.45	Professional		$105.16	$153.30	$279.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $131.37 / $267.81	Professional		$85.46	$131.37	$267.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $152.15 / $179.39	Professional		$116.31	$152.15	$179.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $163.37 / $226.49	Professional		$110.66	$163.37	$226.49
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $166.03 / $316.79	Professional		$121.79	$166.03	$316.79