Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.75 / $3,174.00 / $6,915.00	Facility		$178.75	$3,174.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $133.96 / $391.47	Professional		$39.11	$133.96	$391.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $79.97 / $218.65	Professional		$70.50	$79.97	$218.65
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 $41.25 / $61.51 / $124.93	Professional		$41.25	$61.51	$124.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.87 / $92.26 / $187.79	Professional	50	$61.87	$92.26	$187.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $163.59 / $363.51	Professional		$50.68	$163.59	$363.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $191.57 / $1,246.00	Professional		$47.04	$191.57	$1,246.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $211.11 / $309.06	Professional		$49.16	$211.11	$309.06
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 $148.35 / $209.83 / $404.02	Professional		$148.35	$209.83	$404.02