Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $302.00 / $363.08	Facility		$53.70	$302.00	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $295.12	Professional		$51.29	$79.43	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $107.15	Professional		$44.67	$63.10	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $66.07 / $89.13	Facility		$29.51	$66.07	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $151.36	Professional		$66.07	$93.33	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.69 / $316.23	Facility		$30.20	$41.69	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $165.96	Professional		$58.88	$91.20	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $234.42	Professional		$61.66	$74.13	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $54.95 / $95.50	Professional		$21.38	$54.95	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $50.12 / $100.00	Facility		$45.71	$50.12	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $138.04	Professional		$60.26	$89.13	$138.04