Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $122.42 / $122.42	Facility		$122.42	$122.42	$122.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.42 / $122.42	Professional		$99.11	$122.42	$122.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $158.10 / $158.10	Professional		$72.90	$158.10	$158.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $307.00 / $413.00	Professional		$307.00	$307.00	$413.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $117.23 / $194.40	Professional		$111.25	$117.23	$194.40
United Facility/Professional Professional Modifier Low / Median / High Price $203.70 / $203.70 / $203.70	Professional		$203.70	$203.70	$203.70