Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,548.13 / $7,413.10	Facility		$204.17	$3,548.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $446.68	Professional		$79.43	$177.83	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $147.91	Professional		$67.61	$83.18	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $309.03	Professional		$85.11	$144.54	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $436.52	Professional		$97.72	$199.53	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $588.84	Professional		$87.10	$218.78	$588.84
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $81.28 / $131.83 / $380.19	Professional	53	$81.28	$131.83	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $389.05	Professional		$251.19	$331.13	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,513.56 / $2,511.89	Facility		$257.04	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $194.98 / $389.05	Professional		$89.13	$194.98	$389.05