Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.85 / $2,950.00 / $6,794.30	Facility		$307.85	$2,950.00	$6,794.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $307.25 / $615.66	Professional		$130.96	$307.25	$615.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $117.30 / $120.67	Professional		$55.91	$117.30	$120.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $313.62 / $563.60	Professional		$169.68	$313.62	$563.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.62 / $1,000.62 / $1,000.62	Facility		$1,000.62	$1,000.62	$1,000.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $348.23 / $657.28	Professional		$179.80	$348.23	$657.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $291.52 / $544.46	Professional		$139.00	$291.52	$544.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.37 / $411.98 / $490.31	Professional		$208.37	$411.98	$490.31
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.07 / $446.90 / $698.72	Professional		$276.07	$446.90	$698.72