Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.94 / $2,221.00 / $6,858.00	Facility		$111.94	$2,221.00	$6,858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $124.57 / $264.89	Professional		$76.73	$124.57	$264.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $213.08 / $227.64	Professional		$193.49	$213.08	$227.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.38 / $839.17 / $1,789.93	Facility		$552.38	$839.17	$1,789.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $138.13 / $242.73	Professional		$86.26	$138.13	$242.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $135.97 / $278.36	Professional		$88.41	$135.97	$278.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $134.87 / $232.03	Professional		$88.04	$134.87	$232.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $134.87 / $206.65	Professional		$88.04	$134.87	$206.65
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 $114.73 / $151.97 / $290.89	Professional		$114.73	$151.97	$290.89