Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.97 / $2,987.00 / $6,915.00	Facility		$142.97	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $153.36 / $274.95	Professional		$89.97	$153.36	$274.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $301.51 / $301.51	Professional		$197.86	$301.51	$301.51
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 $106.41 / $172.64 / $309.58	Professional		$106.41	$172.64	$309.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $163.94 / $313.14	Professional		$93.74	$163.94	$313.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $178.64 / $289.52	Professional		$114.07	$178.64	$289.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $171.04 / $265.17	Professional		$114.07	$171.04	$265.17
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 $142.44 / $205.67 / $371.94	Professional		$142.44	$205.67	$371.94