Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,630.78 / $7,413.10	Facility		$239.88	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $426.58	Professional		$158.49	$234.42	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $371.54	Professional		$288.40	$288.40	$371.54
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 $141.25 / $223.87 / $380.19	Professional		$141.25	$223.87	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $407.38	Facility		$120.23	$147.91	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $478.63	Professional		$158.49	$251.19	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $1,258.93	Professional		$162.18	$288.40	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $380.19	Professional		$194.98	$257.04	$380.19
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 $165.96 / $234.42 / $398.11	Professional		$165.96	$234.42	$398.11