Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $2,596.67 / $6,155.00	Facility		$137.38	$2,596.67	$6,155.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.39 / $110.12 / $168.44	Facility	52	$22.39	$110.12	$168.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $207.51 / $425.54	Professional		$44.78	$207.51	$425.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $65.78 / $419.85	Professional		$37.88	$65.78	$419.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.38 / $839.17 / $1,789.93	Facility		$552.38	$839.17	$1,789.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $178.01 / $434.94	Professional		$53.37	$178.01	$434.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $140.69 / $443.57	Professional		$51.42	$140.69	$443.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $232.39 / $395.58	Professional		$50.04	$232.39	$395.58
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $29.95 / $45.63 / $216.41	Professional	52	$29.95	$45.63	$216.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $264.63 / $390.20	Professional		$56.73	$264.63	$390.20
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 $191.59 / $277.56 / $536.15	Professional		$191.59	$277.56	$536.15