Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,630.78 / $7,413.10	Facility		$223.87	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $323.59	Professional		$114.82	$177.83	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $346.74	Professional		$245.47	$323.59	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $331.13	Professional		$131.83	$190.55	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $398.11	Professional		$117.49	$199.53	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $407.38	Professional		$123.03	$223.87	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $302.00	Professional		$165.96	$263.03	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,513.56 / $2,511.89	Facility		$309.03	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $398.11	Professional		$134.90	$218.78	$398.11