Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $2,987.00 / $6,915.00	Facility		$106.31	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $106.31 / $218.18	Professional		$52.75	$106.31	$218.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $203.26 / $225.25	Professional		$119.15	$203.26	$225.25
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 $70.52 / $121.29 / $221.35	Professional		$70.52	$121.29	$221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $133.91 / $268.82	Professional		$78.25	$133.91	$268.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $129.72 / $209.17	Professional		$64.81	$129.72	$209.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $87.20 / $174.53	Professional		$65.08	$87.20	$174.53
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 $108.95 / $157.49 / $270.10	Professional		$108.95	$157.49	$270.10