Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.78 / $4,592.00 / $6,915.00	Facility		$370.78	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.31 / $375.70 / $758.01	Professional		$226.31	$375.70	$758.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $323.31 / $514.59	Professional		$170.21	$323.31	$514.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,260.19 / $3,862.88	Facility		$875.94	$2,260.19	$3,862.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.23 / $456.55 / $810.39	Professional		$299.23	$456.55	$810.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $451.07 / $902.99	Professional		$309.42	$451.07	$902.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.23 / $450.71 / $644.04	Professional		$299.23	$450.71	$644.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $299.23 / $450.71 / $675.18	Professional		$299.23	$450.71	$675.18
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,550.00 / $2,665.00	Facility		$450.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.59 / $530.82 / $938.43	Professional		$371.59	$530.82	$938.43