Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.74 / $2,595.00 / $6,915.00	Facility		$432.74	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $278.43 / $645.29	Professional		$69.63	$278.43	$645.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $94.76 / $98.03	Professional		$68.05	$94.76	$98.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $338.73 / $893.57	Professional		$90.36	$338.73	$893.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $230.34 / $853.35	Professional		$103.05	$230.34	$853.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $458.11 / $1,577.00	Professional		$81.31	$458.11	$1,577.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $506.20 / $1,214.20	Professional		$4.00	$506.20	$1,214.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.84 / $529.50 / $1,069.92	Professional		$382.84	$529.50	$1,069.92