Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $2,987.00 / $6,915.00	Facility		$178.20	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $191.15 / $326.00	Professional		$111.76	$191.15	$326.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.60 / $262.60 / $347.41	Professional		$262.60	$262.60	$347.41
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 $133.72 / $216.40 / $386.32	Professional		$133.72	$216.40	$386.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $200.99 / $389.34	Professional		$116.54	$200.99	$389.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $222.20 / $404.49	Professional		$141.66	$222.20	$404.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $212.99 / $330.29	Professional		$141.66	$212.99	$330.29
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 $173.20 / $264.64 / $462.64	Professional		$173.20	$264.64	$462.64