Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.64 / $2,044.00 / $6,519.00	Facility		$290.64	$2,044.00	$6,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $290.64 / $594.25	Professional		$175.00	$290.64	$594.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.49 / $444.03 / $619.04	Professional		$182.49	$444.03	$619.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.78 / $330.75 / $615.20	Professional		$202.78	$330.75	$615.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.14 / $336.59 / $668.03	Professional		$206.14	$336.59	$668.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $356.52 / $426.33	Professional		$221.72	$356.52	$426.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $353.04 / $532.22	Professional		$221.72	$353.04	$532.22
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $387.57 / $742.31	Professional		$266.77	$387.57	$742.31