Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.10 / $3,460.00 / $6,915.00	Facility		$167.10	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $162.63 / $315.19	Professional		$111.97	$162.63	$315.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $245.74 / $322.05	Professional		$145.08	$245.74	$322.05
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 $132.57 / $190.37 / $348.38	Professional		$132.57	$190.37	$348.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $166.25 / $328.36	Professional		$109.60	$166.25	$328.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.32 / $185.47 / $228.54	Professional		$144.32	$185.47	$228.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $201.10 / $277.74	Professional		$134.96	$201.10	$277.74
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 $151.66 / $204.86 / $386.17	Professional		$151.66	$204.86	$386.17