Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.19 / $2,987.00 / $6,915.00	Facility		$166.19	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $182.81 / $335.59	Professional		$113.81	$182.81	$335.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.94 / $323.10 / $349.02	Professional		$234.94	$323.10	$349.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $202.13 / $361.06	Professional		$126.14	$202.13	$361.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $189.94 / $363.09	Professional		$108.97	$189.94	$363.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $206.79 / $360.27	Professional		$131.93	$206.79	$360.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $199.14 / $307.86	Professional		$131.93	$199.14	$307.86
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 $157.35 / $233.94 / $423.04	Professional		$157.35	$233.94	$423.04