Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.01 / $5,063.00 / $7,631.00	Facility		$182.01	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $182.01 / $319.06	Professional		$156.62	$182.01	$319.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $289.17 / $289.17	Professional		$289.17	$289.17	$289.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,632.74 / $11,033.11	Facility		$1,298.47	$4,632.74	$11,033.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $163.44 / $379.30	Professional		$157.38	$163.44	$379.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $273.77 / $430.71	Professional		$195.00	$273.77	$430.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.77 / $197.41 / $263.22	Professional		$177.77	$197.41	$263.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.09 / $267.73 / $308.39	Professional		$241.09	$267.73	$308.39
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 $171.61 / $252.10 / $434.33	Professional		$171.61	$252.10	$434.33