Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.67 / $2,987.00 / $6,915.00	Facility		$229.67	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $205.44 / $358.76	Professional		$144.83	$205.44	$358.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $340.83 / $372.57	Professional		$204.56	$340.83	$372.57
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 $159.33 / $221.71 / $417.56	Professional		$159.33	$221.71	$417.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.98 / $148.72 / $411.00	Facility		$118.98	$148.72	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.05 / $255.13 / $485.10	Professional		$167.05	$255.13	$485.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $275.83 / $1,269.69	Professional		$180.95	$275.83	$1,269.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.83 / $277.39 / $388.26	Professional		$207.83	$277.39	$388.26
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 $191.74 / $246.04 / $438.68	Professional		$191.74	$246.04	$438.68