Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.44 / $2,987.00 / $6,915.00	Facility		$191.44	$2,987.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $62.25 / $95.72 / $152.38	Facility	52	$62.25	$95.72	$152.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $191.44 / $384.48	Professional		$122.19	$191.44	$384.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $189.56 / $189.56	Professional		$162.47	$189.56	$189.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $1,990.17 / $3,851.83	Facility		$734.14	$1,990.17	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $226.57 / $382.70	Professional		$141.38	$226.57	$382.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.90 / $344.90 / $344.90	Facility		$344.90	$344.90	$344.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $249.59 / $412.56	Professional		$150.47	$249.59	$412.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $191.31 / $496.93	Professional		$124.82	$191.31	$496.93
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $79.30 / $79.30 / $116.27	Professional	52	$79.30	$79.30	$116.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $205.67 / $329.81	Professional		$122.25	$205.67	$329.81
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $251.51 / $422.63	Professional		$175.88	$251.51	$422.63