Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.94 / $2,595.00 / $6,915.00	Facility		$127.94	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $151.77 / $291.77	Professional		$75.83	$151.77	$291.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $130.36 / $266.85	Professional		$130.36	$130.36	$266.85
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 $99.35 / $171.55 / $296.60	Professional		$99.35	$171.55	$296.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $107.62 / $107.62	Facility		$107.62	$107.62	$107.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $182.37 / $340.00	Professional		$101.01	$182.37	$340.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $158.10 / $246.66	Professional		$85.18	$158.10	$246.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.64 / $122.96 / $261.17	Professional		$111.64	$122.96	$261.17
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $203.59 / $341.71	Professional		$138.88	$203.59	$341.71