Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $2,987.00 / $6,726.00	Facility		$270.31	$2,987.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $253.74 / $510.69	Professional		$120.49	$253.74	$510.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $322.02 / $322.02	Professional		$115.03	$322.02	$322.02
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 $121.60 / $196.83 / $354.45	Professional		$121.60	$196.83	$354.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $287.58 / $597.12	Professional		$152.97	$287.58	$597.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $294.68 / $1,415.00	Professional		$136.01	$294.68	$1,415.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $316.20 / $444.74	Professional		$149.19	$316.20	$444.74
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 $212.33 / $341.08 / $640.66	Professional		$212.33	$341.08	$640.66