Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $89.13 / $165.96	Facility		$26.92	$89.13	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $77.62	Professional		$20.89	$32.36	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $48.98 / $77.62	Facility		$25.12	$48.98	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $63.10	Professional		$26.30	$35.48	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $52.48 / $158.49	Facility		$37.15	$52.48	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $74.13	Professional		$25.12	$39.81	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $100.00	Professional		$31.62	$40.74	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $48.98	Professional		$37.15	$37.15	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $218.78 / $218.78	Facility		$21.88	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $61.66	Professional		$26.30	$33.88	$61.66