Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,630.78 / $7,413.10	Facility		$302.00	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $281.84 / $537.03	Professional		$114.82	$281.84	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $549.54	Professional		$234.42	$389.05	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,089.30 / $3,548.13	Facility		$741.31	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $295.12	Professional		$100.00	$154.88	$295.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $234.42 / $436.52	Professional	50	$147.91	$234.42	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $218.78 / $407.38	Facility		$162.18	$218.78	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $645.65	Professional		$120.23	$275.42	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $354.81 / $912.01	Professional		$120.23	$354.81	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,348.96 / $2,454.71	Facility		$109.65	$1,348.96	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $269.15 / $501.19	Professional		$117.49	$269.15	$501.19