Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $2,950.00 / $6,726.00	Facility		$305.94	$2,950.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.21 / $308.72 / $575.34	Professional		$190.21	$308.72	$575.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.33 / $293.33 / $293.33	Professional		$293.33	$293.33	$293.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,557.00 / $5,240.56	Facility		$964.00	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $369.00 / $651.00	Professional		$227.28	$369.00	$651.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $330.52 / $660.66	Professional		$197.30	$330.52	$660.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.55 / $366.67 / $744.45	Professional		$237.55	$366.67	$744.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $5.81 / $5.81 / $8.96	Professional	AS	$5.81	$5.81	$8.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.73 / $427.70 / $590.97	Professional		$313.73	$427.70	$590.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.56 / $435.46 / $774.66	Professional		$307.56	$435.46	$774.66