Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $169.82 / $316.23	Facility		$63.10	$169.82	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $194.98	Professional		$66.07	$87.10	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $120.23 / $158.49	Facility		$61.66	$120.23	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $125.89 / $213.80	Professional		$45.71	$125.89	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $288.40	Facility		$95.50	$154.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $302.00	Professional		$46.77	$95.50	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $741.31	Professional		$85.11	$123.03	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $204.17	Professional		$95.50	$117.49	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $85.11 / $112.20	Facility		$75.86	$85.11	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $134.90	Professional		$39.81	$63.10	$134.90