Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,630.78 / $7,079.46	Facility		$169.82	$3,630.78	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $295.12	Professional		$79.43	$128.82	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $457.09	Professional		$100.00	$141.25	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,548.13	Facility		$741.31	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $208.93	Professional		$91.20	$131.83	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $645.65	Facility		$79.43	$134.90	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $245.47	Professional		$93.33	$144.54	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $630.96	Professional		$79.43	$128.82	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $194.98	Professional		$134.90	$181.97	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $218.78	Professional		$77.62	$125.89	$218.78