Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $3,096.00 / $6,915.00	Facility		$149.40	$3,096.00	$6,915.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.35 / $41.34 / $74.98	Facility	53	$17.35	$41.34	$74.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $198.94 / $509.34	Professional		$82.33	$198.94	$509.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $112.56 / $380.24	Professional		$76.78	$112.56	$380.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $144.35 / $322.07	Professional		$83.15	$144.35	$322.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $215.43 / $469.82	Professional		$102.42	$215.43	$469.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $226.28 / $666.66	Professional		$96.58	$226.28	$666.66
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $81.47 / $132.66 / $381.88	Professional	53	$81.47	$132.66	$381.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $258.39 / $358.60	Professional		$106.28	$258.39	$358.60
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.17 / $295.70 / $499.20	Professional		$191.17	$295.70	$499.20