Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.85 / $5,063.00 / $7,421.00	Facility		$206.85	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.94 / $206.85 / $440.59	Professional		$177.94	$206.85	$440.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.33 / $330.33 / $330.33	Professional		$330.33	$330.33	$330.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $285.11 / $453.32	Professional		$192.64	$285.11	$453.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $315.38 / $504.70	Professional		$215.55	$315.38	$504.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.50 / $249.09 / $1,789.00	Professional		$213.50	$249.09	$1,789.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.74 / $304.26 / $329.15	Professional		$292.74	$304.26	$329.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $287.26 / $489.10	Professional		$193.25	$287.26	$489.10