Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.11 / $2,595.00 / $6,915.00	Facility		$220.11	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $235.46 / $431.18	Professional		$143.31	$235.46	$431.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.54 / $228.54 / $235.11	Professional		$228.54	$228.54	$235.11
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 $167.00 / $268.73 / $475.76	Professional		$167.00	$268.73	$475.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $251.58 / $476.34	Professional		$141.96	$251.58	$476.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $270.81 / $411.78	Professional		$182.48	$270.81	$411.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $270.81 / $404.16	Professional		$180.97	$270.81	$404.16
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 $218.51 / $313.98 / $563.85	Professional		$218.51	$313.98	$563.85