Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $2,987.00 / $6,915.00	Facility		$121.24	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $131.62 / $215.96	Professional		$73.58	$131.62	$215.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $171.10 / $171.10	Professional		$171.10	$171.10	$171.10
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 $87.18 / $143.66 / $257.49	Professional		$87.18	$143.66	$257.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $133.68 / $266.52	Professional		$75.90	$133.68	$266.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $151.15 / $251.07	Professional		$94.74	$151.15	$251.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $141.72 / $223.86	Professional		$94.74	$141.72	$223.86
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 $118.82 / $171.36 / $314.70	Professional		$118.82	$171.36	$314.70