Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $2,422.00 / $6,915.00	Facility		$147.41	$2,422.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $160.22 / $286.64	Professional		$110.84	$160.22	$286.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $208.10 / $312.50	Professional		$208.10	$208.10	$312.50
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 $131.66 / $190.70 / $336.26	Professional		$131.66	$190.70	$336.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $202.21 / $369.80	Professional		$134.13	$202.21	$369.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $179.97 / $340.01	Professional		$133.86	$179.97	$340.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $193.47 / $272.49	Professional		$133.86	$193.47	$272.49
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 $152.58 / $215.40 / $387.32	Professional		$152.58	$215.40	$387.32