Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.87 / $3,360.00 / $6,915.00	Facility		$197.87	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $212.70 / $413.48	Professional		$151.68	$212.70	$413.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.47 / $164.08 / $393.36	Professional		$123.47	$164.08	$393.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $256.72 / $467.47	Professional		$177.89	$256.72	$467.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $224.75 / $430.79	Professional		$149.94	$224.75	$430.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.12 / $245.85 / $365.29	Professional		$195.12	$245.85	$365.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $268.93 / $368.07	Professional		$183.81	$268.93	$368.07
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 $197.86 / $284.77 / $511.88	Professional		$197.86	$284.77	$511.88