Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,630.78 / $7,413.10	Facility		$213.80	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $190.55 / $380.19	Professional		$70.79	$190.55	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $316.23	Professional		$229.09	$316.23	$316.23
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 $74.13 / $117.49 / $204.17	Professional		$74.13	$117.49	$204.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $177.83 / $309.03	Professional	50	$112.20	$177.83	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $407.38	Facility		$144.54	$181.97	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $416.87	Professional		$75.86	$181.97	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $229.09 / $602.56	Professional		$64.57	$229.09	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $229.09 / $275.42	Professional		$87.10	$229.09	$275.42
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 $74.13 / $177.83 / $346.74	Professional		$74.13	$177.83	$346.74