Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $5,370.32 / $9,549.93	Facility		$123.03	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $295.12	Professional		$67.61	$131.83	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $229.09	Professional		$85.11	$125.89	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $288.40	Professional		$91.20	$165.96	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $257.04	Professional		$75.86	$131.83	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $169.82	Professional		$66.07	$141.25	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $194.98	Professional		$100.00	$173.78	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $263.03	Professional		$72.44	$128.82	$263.03