Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $245.47 / $1,584.89	Facility		$64.57	$245.47	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $194.98	Professional		$48.98	$87.10	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $147.91	Professional		$54.95	$67.61	$147.91
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 $56.23 / $81.28 / $120.23	Professional		$56.23	$81.28	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $2,511.89	Facility		$89.13	$89.13	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $181.97	Professional		$57.54	$95.50	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $407.38	Professional		$61.66	$123.03	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $223.87	Professional		$58.88	$114.82	$223.87
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 $46.77 / $85.11 / $158.49	Professional		$46.77	$85.11	$158.49