Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.76 / $1,563.00 / $6,915.00	Facility		$66.76	$1,563.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $124.82 / $281.05	Professional		$64.78	$124.82	$281.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $258.33 / $258.33	Professional		$112.68	$258.33	$258.33
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 $77.34 / $140.76 / $308.89	Professional		$77.34	$140.76	$308.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $135.07 / $304.05	Professional		$73.01	$135.07	$304.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $151.62 / $680.81	Professional		$76.25	$151.62	$680.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $167.01 / $241.63	Professional		$85.56	$167.01	$241.63
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 $111.41 / $160.69 / $312.85	Professional		$111.41	$160.69	$312.85