Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.56 / $2,862.50 / $6,519.00	Facility		$420.56	$2,862.50	$6,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $373.79 / $706.77	Professional		$226.83	$373.79	$706.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $672.41 / $672.41 / $672.41	Professional		$672.41	$672.41	$672.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.31 / $438.04 / $758.23	Professional		$273.31	$438.04	$758.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.55 / $393.45 / $755.42	Professional		$236.55	$393.45	$755.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.48 / $420.26 / $885.95	Professional		$280.48	$420.26	$885.95
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $6.85 / $6.85 / $10.27	Professional	AS	$6.85	$6.85	$10.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $369.47 / $487.65 / $673.82	Professional		$369.47	$487.65	$673.82
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 $371.10 / $528.12 / $906.45	Professional		$371.10	$528.12	$906.45