Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.15 / $1,695.50 / $5,063.00	Facility		$390.15	$1,695.50	$5,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $253.00 / $824.42	Professional		$66.40	$253.00	$824.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $126.42 / $618.42	Professional		$74.36	$126.42	$618.42
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 $90.65 / $296.57 / $871.52	Professional		$90.65	$296.57	$871.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $560.01 / $1,038.00	Professional		$106.59	$560.01	$1,038.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $386.52 / $1,793.00	Professional		$81.80	$386.52	$1,793.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $444.63 / $579.78	Professional		$99.77	$444.63	$579.78
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.14 / $733.85 / $1,017.83	Professional		$487.14	$733.85	$1,017.83