Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.51 / $2,987.00 / $6,915.00	Facility		$180.51	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $193.90 / $356.75	Professional		$128.07	$193.90	$356.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.10 / $351.36 / $351.36	Professional		$331.10	$351.36	$351.36
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 $139.43 / $220.79 / $395.51	Professional		$139.43	$220.79	$395.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $204.59 / $393.79	Professional		$122.65	$204.59	$393.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $224.33 / $412.96	Professional		$148.07	$224.33	$412.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $223.42 / $334.67	Professional		$148.07	$223.42	$334.67
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 $170.92 / $260.39 / $467.08	Professional		$170.92	$260.39	$467.08