Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $4,592.00 / $6,915.00	Facility		$13.36	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $81.59 / $155.79	Professional		$13.63	$81.59	$155.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $63.24 / $208.03	Professional		$17.73	$63.24	$208.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $88.09 / $119.03	Professional		$85.75	$88.09	$119.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $95.70 / $156.02	Professional		$14.11	$95.70	$156.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $25.51 / $208.52	Professional		$14.11	$25.51	$208.52
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $118.40 / $265.29	Professional		$87.48	$118.40	$265.29