Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $2,760.00 / $6,915.00	Facility		$66.30	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $73.75 / $145.15	Professional		$43.23	$73.75	$145.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $135.61 / $149.88	Professional		$135.61	$135.61	$149.88
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 $58.85 / $92.79 / $161.58	Professional		$58.85	$92.79	$161.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $79.08 / $151.93	Professional		$46.75	$79.08	$151.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $86.32 / $131.38	Professional		$52.97	$86.32	$131.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $84.94 / $127.86	Professional		$52.97	$84.94	$127.86
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 $68.09 / $102.99 / $179.72	Professional		$68.09	$102.99	$179.72