Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $3,630.78 / $7,413.10	Facility		$134.90	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $213.80	Professional		$81.28	$128.82	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
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 $93.33 / $138.04 / $239.88	Professional		$93.33	$138.04	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $288.40	Professional		$83.18	$144.54	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $239.88	Professional		$91.20	$165.96	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $218.78	Professional		$123.03	$190.55	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $288.40	Professional		$97.72	$158.49	$288.40