Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,392.45 / $1,392.45 / $1,981.00	Professional		$1,392.45	$1,392.45	$1,981.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,720.36 / $7,874.27 / $21,592.00	Facility		$2,720.36	$7,874.27	$21,592.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $193.88 / $750.58	Professional		$170.38	$193.88	$750.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,129.39 / $1,650.64	Professional		$868.76	$1,129.39	$1,650.64
United Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $168.04 / $1,004.35	Professional		$117.51	$168.04	$1,004.35