Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.53 / $2,960.00 / $6,726.00	Facility		$393.53	$2,960.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.92 / $424.89 / $746.05	Professional		$279.92	$424.89	$746.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $409.58 / $762.45 / $814.69	Professional		$409.58	$762.45	$814.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.06 / $478.81 / $855.86	Professional		$313.06	$478.81	$855.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $418.87 / $854.43	Professional		$260.39	$418.87	$854.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.51 / $482.69 / $807.45	Professional		$341.51	$482.69	$807.45
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $625.91 / $625.91 / $884.70	Professional	22	$625.91	$625.91	$884.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.51 / $504.88 / $747.30	Professional		$341.51	$504.88	$747.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.15 / $552.15 / $991.49	Professional		$385.15	$552.15	$991.49