Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.96 / $2,404.00 / $6,915.00	Facility		$145.96	$2,404.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $131.36 / $260.91	Professional		$90.40	$131.36	$260.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $194.45 / $232.92	Professional		$119.15	$194.45	$232.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,085.16 / $3,851.83	Facility		$606.69	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $139.79 / $247.64	Professional		$99.85	$139.79	$247.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $95.61 / $411.00	Facility		$76.48	$95.61	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $158.97 / $298.06	Professional		$104.99	$158.97	$298.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $175.63 / $800.52	Professional		$114.23	$175.63	$800.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $173.84 / $245.62	Professional		$131.15	$173.84	$245.62
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $154.88 / $279.33	Professional		$120.86	$154.88	$279.33