Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $3,018.00 / $6,900.00	Facility		$127.09	$3,018.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $171.57	Professional		$45.89	$127.09	$171.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.91 / $197.91 / $395.82	Professional		$197.91	$197.91	$395.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.25 / $437.95 / $437.95	Professional		$372.25	$437.95	$437.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.18 / $511.45 / $640.00	Facility		$454.18	$511.45	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,317.00 / $3,317.00 / $5,021.00	Professional		$3,317.00	$3,317.00	$5,021.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,625.05 / $1,625.05 / $2,150.00	Facility		$1,625.05	$1,625.05	$2,150.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.33 / $1,283.33 / $1,283.33	Professional		$1,283.33	$1,283.33	$1,283.33
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00