Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $4,592.00 / $6,915.00	Facility		$161.63	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $168.30 / $322.37	Professional		$116.92	$168.30	$322.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.82 / $318.82 / $318.82	Professional		$318.82	$318.82	$318.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.79 / $1,298.54 / $3,132.87	Facility		$822.79	$1,298.54	$3,132.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $208.25 / $367.26	Professional		$141.83	$208.25	$367.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.27 / $219.04 / $407.48	Professional		$145.27	$219.04	$407.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $199.27 / $416.65	Professional		$147.47	$199.27	$416.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $213.34 / $307.04	Professional		$147.47	$213.34	$307.04
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 $167.19 / $236.03 / $424.10	Professional		$167.19	$236.03	$424.10