Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.31 / $5,045.00 / $6,915.00	Facility		$218.31	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $144.00 / $340.62	Professional		$121.69	$144.00	$340.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $152.63 / $258.94	Professional		$152.63	$152.63	$258.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,839.45 / $8,545.91	Facility		$1,195.63	$3,839.45	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $205.00 / $379.51	Professional		$128.35	$205.00	$379.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.27 / $254.87 / $354.29	Professional		$155.27	$254.87	$354.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $162.72 / $422.47	Professional		$127.85	$162.72	$422.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $195.27 / $3,041.30	Professional		$113.07	$195.27	$3,041.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,102.00 / $18,613.00	Facility		$1,998.00	$9,102.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $207.42 / $329.54	Professional		$128.01	$207.42	$329.54