Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.60 / $3,911.00 / $6,915.00	Facility		$404.60	$3,911.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $402.68 / $802.31	Professional		$143.04	$402.68	$802.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $254.89 / $638.09	Professional		$205.22	$254.89	$638.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $370.85 / $830.71	Professional		$173.60	$370.85	$830.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.93 / $395.00 / $897.03	Professional		$175.93	$395.00	$897.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $378.06 / $522.91	Professional		$157.88	$378.06	$522.91
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $338.05 / $338.05 / $846.26	Professional	22	$338.05	$338.05	$846.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.75 / $227.90 / $601.04	Professional		$208.75	$227.90	$601.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.89 / $629.00 / $1,000.43	Professional		$393.89	$629.00	$1,000.43