Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $1,659.59	Facility		$331.13	$912.01	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $912.01	Professional		$331.13	$467.74	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Professional		$302.00	$302.00	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $691.83	Facility		$302.00	$549.54	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $1,023.29	Professional		$199.53	$245.47	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $812.83 / $1,513.56	Facility		$316.23	$812.83	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $575.44 / $1,949.84	Professional		$229.09	$575.44	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $3,890.45	Professional		$446.68	$575.44	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,071.52	Professional		$501.19	$616.60	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $501.19	Facility		$302.00	$446.68	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $691.83	Professional		$208.93	$302.00	$691.83