Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.23 / $4,195.00 / $6,915.00	Facility		$341.23	$4,195.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $357.24 / $749.56	Professional		$167.71	$357.24	$749.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $305.64 / $533.67	Professional		$305.64	$305.64	$533.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.73 / $381.42 / $671.81	Professional		$217.73	$381.42	$671.81
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 $216.68 / $397.98 / $822.03	Professional		$216.68	$397.98	$822.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.32 / $391.46 / $1,951.00	Professional		$189.32	$391.46	$1,951.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.41 / $273.29 / $615.63	Professional		$246.41	$273.29	$615.63
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.84 / $507.78 / $815.05	Professional		$336.84	$507.78	$815.05