Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,454.71 / $7,585.78	Facility		$218.78	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $194.98 / $588.84	Professional		$74.13	$194.98	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $331.13	Professional		$64.57	$87.10	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $389.05	Professional		$100.00	$194.98	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $380.19	Professional		$85.11	$173.78	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $562.34	Professional		$70.79	$173.78	$562.34
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $6.92 / $16.60 / $43.65	Professional	80	$6.92	$16.60	$43.65
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $3.47 / $8.32 / $21.88	Professional	AS	$3.47	$8.32	$21.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $446.68	Professional		$114.82	$204.17	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,412.54 / $2,454.71	Facility		$177.83	$1,412.54	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $190.55 / $380.19	Professional		$75.86	$190.55	$380.19