Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.91 / $2,987.00 / $6,915.00	Facility		$288.91	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $352.80 / $707.75	Professional		$164.42	$352.80	$707.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.83 / $474.57 / $731.07	Professional		$310.83	$474.57	$731.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.45 / $389.84 / $752.38	Professional		$208.45	$389.84	$752.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $330.50 / $731.82	Professional		$163.51	$330.50	$731.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $421.04 / $686.23	Professional		$186.55	$421.04	$686.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $386.68 / $623.35	Professional		$186.55	$386.68	$623.35
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 $339.10 / $484.04 / $876.64	Professional		$339.10	$484.04	$876.64