Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,630.78 / $7,413.10	Facility		$165.96	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $331.13	Professional		$120.23	$162.18	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $134.90	Professional		$128.82	$131.83	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $269.15	Professional		$120.23	$190.55	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $213.80 / $2,511.89	Facility		$138.04	$213.80	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	54	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $338.84	Professional		$131.83	$194.98	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $977.24	Professional		$147.91	$190.55	$977.24
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $177.83 / $177.83 / $199.53	Professional	54	$177.83	$177.83	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $263.03	Professional		$199.53	$223.87	$263.03
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 $109.65 / $165.96 / $302.00	Professional		$109.65	$165.96	$302.00