Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.49 / $3,018.00 / $6,915.00	Facility		$273.49	$3,018.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $250.78 / $510.89	Professional		$122.25	$250.78	$510.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.70 / $212.26 / $324.32	Professional		$166.70	$212.26	$324.32
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 $123.36 / $199.72 / $359.16	Professional		$123.36	$199.72	$359.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $290.42 / $605.10	Professional		$155.41	$290.42	$605.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $298.87 / $1,564.00	Professional		$137.94	$298.87	$1,564.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $320.10 / $447.74	Professional		$151.13	$320.10	$447.74
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.65 / $379.81 / $662.12	Professional		$252.65	$379.81	$662.12