Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.04 / $3,460.00 / $6,915.00	Facility		$332.04	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $332.04 / $654.59	Professional		$183.70	$332.04	$654.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.43 / $231.43 / $231.43	Professional		$231.43	$231.43	$231.43
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 $211.83 / $366.47 / $676.95	Professional		$211.83	$366.47	$676.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.07 / $373.43 / $802.66	Professional		$215.07	$373.43	$802.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $408.76 / $445.72	Professional		$232.80	$408.76	$445.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $391.53 / $615.11	Professional		$232.80	$391.53	$615.11
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 $262.95 / $412.37 / $837.25	Professional		$262.95	$412.37	$837.25