Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.86 / $3,826.00 / $6,915.00	Facility		$206.86	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $220.30 / $364.33	Professional		$133.18	$220.30	$364.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $144.10 / $144.10	Professional		$144.10	$144.10	$144.10
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 $156.85 / $252.01 / $447.32	Professional		$156.85	$252.01	$447.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $233.02 / $445.72	Professional		$133.90	$233.02	$445.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.27 / $253.76 / $412.18	Professional		$168.27	$253.76	$412.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.08 / $253.76 / $377.61	Professional		$167.08	$253.76	$377.61
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 $205.04 / $302.88 / $528.35	Professional		$205.04	$302.88	$528.35