Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $371.54	Facility		$100.00	$154.88	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $194.98	Professional		$77.62	$100.00	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $275.42	Facility		$91.20	$169.82	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $218.78	Professional		$91.20	$128.82	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $162.18 / $426.58	Facility		$117.49	$162.18	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $239.88	Professional		$83.18	$144.54	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $346.74	Professional		$97.72	$125.89	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $79.43 / $158.49	Professional		$26.30	$79.43	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $912.01 / $912.01	Facility		$95.50	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $229.09	Professional		$97.72	$123.03	$229.09