Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $2,760.00 / $6,915.00	Facility		$125.00	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $137.50 / $266.95	Professional		$81.22	$137.50	$266.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $116.64 / $116.64	Professional		$116.64	$116.64	$116.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $157.09 / $277.27	Professional		$98.53	$157.09	$277.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $145.81 / $274.85	Professional		$86.78	$145.81	$274.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $155.13 / $235.62	Professional		$99.45	$155.13	$235.62
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $191.22 / $323.02	Professional		$130.30	$191.22	$323.02