Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.82 / $2,595.00 / $6,915.00	Facility		$199.82	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $209.40 / $373.63	Professional		$126.25	$209.40	$373.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $207.35 / $207.35	Professional		$176.25	$207.35	$207.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $238.28 / $420.74	Professional		$146.55	$238.28	$420.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $215.99 / $430.02	Professional		$123.26	$215.99	$430.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $244.39 / $303.76	Professional		$160.31	$244.39	$303.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $242.20 / $364.08	Professional		$158.94	$242.20	$364.08
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 $195.17 / $284.70 / $508.84	Professional		$195.17	$284.70	$508.84