Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.11 / $3,295.00 / $6,915.00	Facility		$213.11	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $293.55 / $536.55	Professional		$193.49	$293.55	$536.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $534.24 / $534.24 / $589.05	Professional		$534.24	$534.24	$589.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,557.00 / $5,240.56	Facility		$964.00	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $345.50 / $613.69	Professional		$228.16	$345.50	$613.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $316.97 / $594.85	Professional		$196.45	$316.97	$594.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.96 / $339.25 / $586.36	Professional		$245.96	$339.25	$586.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.74 / $354.46 / $506.89	Professional		$245.74	$354.46	$506.89
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 $277.55 / $399.59 / $706.35	Professional		$277.55	$399.59	$706.35