Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $4,592.00 / $6,915.00	Facility		$984.00	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.05 / $314.27 / $734.37	Professional		$261.05	$314.27	$734.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $475.62 / $475.62 / $475.62	Professional		$475.62	$475.62	$475.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $398.42 / $758.67	Professional		$257.38	$398.42	$758.67
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 $304.94 / $448.43 / $723.06	Professional		$304.94	$448.43	$723.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.18 / $333.03 / $949.14	Professional		$256.18	$333.03	$949.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $396.61 / $425.26	Professional		$385.19	$396.61	$425.26
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 $274.77 / $400.79 / $684.10	Professional		$274.77	$400.79	$684.10