Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.86 / $2,840.00 / $6,915.00	Facility		$184.86	$2,840.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $166.24 / $299.39	Professional		$117.37	$166.24	$299.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $158.24 / $300.05	Professional		$158.24	$158.24	$300.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $179.41 / $342.37	Professional		$128.15	$179.41	$342.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.85 / $114.81 / $411.00	Facility		$91.85	$114.81	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $208.38 / $388.91	Professional		$135.19	$208.38	$388.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $221.54 / $1,026.80	Professional		$146.37	$221.54	$1,026.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $223.11 / $310.36	Professional		$168.62	$223.11	$310.36
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $199.40 / $352.34	Professional		$154.63	$199.40	$352.34