Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $2,592.00 / $6,915.00	Facility		$88.54	$2,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $100.21 / $238.68	Professional		$52.76	$100.21	$238.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $159.83 / $173.69	Professional		$112.20	$159.83	$173.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $118.59 / $204.08	Professional		$65.43	$118.59	$204.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $75.18 / $75.18	Facility		$75.18	$75.18	$75.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $147.00 / $261.60	Professional		$82.21	$147.00	$261.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $107.94 / $284.61	Professional		$59.35	$107.94	$284.61
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $165.20 / $251.49	Professional		$103.72	$165.20	$251.49