Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $2,395.00 / $5,063.00	Facility		$93.02	$2,395.00	$5,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $94.75 / $217.62	Professional		$37.92	$94.75	$217.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $166.21 / $166.21	Professional		$130.85	$166.21	$166.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $100.91 / $209.30	Professional		$50.58	$100.91	$209.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $79.68 / $79.68	Facility		$79.68	$79.68	$79.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $119.32 / $226.25	Professional		$59.07	$119.32	$226.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $103.88 / $155.27	Professional		$45.71	$103.88	$155.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $76.87 / $181.41	Professional		$62.12	$76.87	$181.41
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $145.69 / $232.82	Professional		$111.78	$145.69	$232.82