Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $2,344.23	Facility		$89.13	$165.96	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $239.88	Professional		$67.61	$112.20	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $158.49	Professional		$77.62	$104.71	$158.49
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 $74.13 / $109.65 / $158.49	Professional		$74.13	$109.65	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $2,511.89	Facility		$89.13	$114.82	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $194.98	Professional		$75.86	$120.23	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $537.03	Professional		$72.44	$125.89	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $208.93	Professional		$72.44	$125.89	$208.93
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 $64.57 / $104.71 / $181.97	Professional		$64.57	$104.71	$181.97