Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,630.78 / $7,413.10	Facility		$371.54	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $512.86	Professional		$181.97	$234.42	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,630.27 / $6,025.60	Facility		$758.58	$2,630.27	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $354.81	Professional		$162.18	$263.03	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,737.80 / $2,187.76	Facility		$407.38	$1,737.80	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $489.78	Professional		$186.21	$295.12	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $1,479.11	Professional		$181.97	$263.03	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $288.40	Professional		$245.47	$275.42	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,248.07 / $8,511.38	Facility		$1,000.00	$5,248.07	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $426.58	Professional		$177.83	$251.19	$426.58