Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $4,195.00 / $6,915.00	Facility		$395.75	$4,195.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.64 / $253.78 / $564.85	Professional		$190.64	$253.78	$564.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.38 / $251.38 / $288.63	Professional		$251.38	$251.38	$288.63
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 $195.31 / $273.43 / $533.33	Professional		$195.31	$273.43	$533.33
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 $223.10 / $329.47 / $556.62	Professional		$223.10	$329.47	$556.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.55 / $252.92 / $807.47	Professional		$194.55	$252.92	$807.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,149.29 / $3,149.29 / $3,250.00	Facility		$3,149.29	$3,149.29	$3,250.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,581.00 / $6,995.00	Facility		$1,369.00	$4,581.00	$6,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.79 / $285.87 / $475.86	Professional		$204.79	$285.87	$475.86