Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $93.03 / $446.94	Facility		$93.03	$93.03	$446.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $93.03 / $128.61	Professional		$91.91	$93.03	$128.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $85.74 / $143.75	Professional		$85.74	$85.74	$143.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $108.50 / $108.50	Facility		$100.00	$108.50	$108.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $100.00 / $101.16	Professional		$95.83	$100.00	$101.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $190.54 / $512.00	Professional		$95.27	$190.54	$512.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.61 / $252.85 / $275.98	Professional		$180.61	$252.85	$275.98
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $112.08	Professional		$100.00	$100.00	$112.08