Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.49 / $1,791.00 / $6,915.00	Facility		$99.49	$1,791.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $127.83 / $257.68	Professional		$68.94	$127.83	$257.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $173.86 / $219.87	Professional		$124.64	$173.86	$219.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $155.69 / $279.45	Professional		$89.43	$155.69	$279.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $130.07 / $267.14	Professional		$75.58	$130.07	$267.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $136.51 / $168.66	Professional		$77.91	$136.51	$168.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $130.57 / $194.51	Professional		$80.55	$130.57	$194.51
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $166.32 / $323.81	Professional		$108.75	$166.32	$323.81