Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.82 / $4,195.00 / $8,252.00	Facility		$181.82	$4,195.00	$8,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $236.74 / $469.15	Professional		$121.09	$236.74	$469.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $276.97 / $411.56	Professional		$262.56	$276.97	$411.56
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 $168.32 / $258.30 / $472.52	Professional		$168.32	$258.30	$472.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $206.00 / $206.00	Facility		$206.00	$206.00	$206.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $294.13 / $534.15	Professional		$162.09	$294.13	$534.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.10 / $259.07 / $1,157.00	Professional		$164.10	$259.07	$1,157.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $248.51 / $402.04	Professional		$164.36	$248.51	$402.04
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 $197.83 / $280.80 / $483.61	Professional		$197.83	$280.80	$483.61