Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $323.59	Facility		$81.28	$158.49	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $177.83	Professional		$54.95	$75.86	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $128.82	Professional		$52.48	$102.33	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $147.91	Professional		$66.07	$91.20	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $316.23	Facility		$102.33	$102.33	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $190.55	Professional		$70.79	$117.49	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $208.93	Professional		$77.62	$91.20	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $112.20	Professional		$95.50	$100.00	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $181.97	Professional		$64.57	$87.10	$181.97