Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.36 / $2,987.00 / $6,915.00	Facility		$162.36	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $173.77 / $310.07	Professional		$112.83	$173.77	$310.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.78 / $238.51 / $340.63	Professional		$185.78	$238.51	$340.63
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 $124.03 / $197.76 / $355.41	Professional		$124.03	$197.76	$355.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $188.28 / $355.02	Professional		$108.93	$188.28	$355.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $201.82 / $352.19	Professional		$130.87	$201.82	$352.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $197.48 / $301.18	Professional		$130.87	$197.48	$301.18
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 $159.83 / $240.80 / $467.22	Professional		$159.83	$240.80	$467.22