Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.10 / $2,297.00 / $6,915.00	Facility		$59.10	$2,297.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $131.85 / $263.33	Professional		$29.62	$131.85	$263.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $40.83 / $167.52	Professional		$28.72	$40.83	$167.52
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 $38.71 / $129.27 / $338.30	Professional		$38.71	$129.27	$338.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $89.59 / $344.86	Professional		$35.43	$89.59	$344.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $148.66 / $914.90	Professional		$34.76	$148.66	$914.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $123.33 / $270.83	Professional		$29.47	$123.33	$270.83
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 $148.54 / $222.75 / $390.59	Professional		$148.54	$222.75	$390.59