Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $2,987.00 / $6,915.00	Facility		$177.27	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $190.25 / $370.73	Professional		$127.43	$190.25	$370.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.67 / $251.19 / $382.74	Professional		$204.67	$251.19	$382.74
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 / $217.07 / $388.84	Professional		$139.43	$217.07	$388.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $206.38 / $386.96	Professional		$122.61	$206.38	$386.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $220.43 / $409.11	Professional		$147.36	$220.43	$409.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $220.43 / $329.07	Professional		$147.36	$220.43	$329.07
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 $173.34 / $263.01 / $458.95	Professional		$173.34	$263.01	$458.95