Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.87 / $2,987.00 / $6,915.00	Facility		$128.87	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $139.86 / $231.15	Professional		$81.59	$139.86	$231.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.14 / $272.14 / $272.14	Professional		$272.14	$272.14	$272.14
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 $96.55 / $157.34 / $278.08	Professional		$96.55	$157.34	$278.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $146.27 / $281.99	Professional		$83.26	$146.27	$281.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $161.24 / $238.01	Professional		$104.48	$161.24	$238.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $155.68 / $238.73	Professional		$104.48	$155.68	$238.73
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 $127.01 / $191.15 / $377.66	Professional		$127.01	$191.15	$377.66