Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,630.78 / $7,413.10	Facility		$512.86	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $660.69	Professional		$144.54	$309.03	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $467.74 / $602.56	Professional		$144.54	$467.74	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,466.84 / $5,370.32	Facility		$1,905.46	$4,466.84	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $758.58	Professional		$181.97	$363.08	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $741.31	Professional		$199.53	$398.11	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $316.23 / $1,000.00	Professional		$141.25	$316.23	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $281.84 / $562.34	Professional		$134.90	$281.84	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,511.89	Facility		$354.81	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $707.95	Professional		$151.36	$331.13	$707.95