Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,019.95 / $7,413.10	Facility		$162.18	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $309.03	Professional		$95.50	$141.25	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $724.44	Professional		$128.82	$190.55	$724.44
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 $109.65 / $162.18 / $229.09	Professional		$109.65	$162.18	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $2,511.89	Facility		$112.20	$169.82	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $288.40	Professional		$112.20	$177.83	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $776.25	Professional		$102.33	$173.78	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $288.40	Professional		$102.33	$177.83	$288.40
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 $95.50 / $151.36 / $263.03	Professional		$95.50	$151.36	$263.03