Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $3,630.78 / $7,413.10	Facility		$141.25	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $208.93	Professional		$46.77	$87.10	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $173.78	Professional		$64.57	$125.89	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $158.49	Professional		$67.61	$100.00	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $181.97	Professional		$51.29	$95.50	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $213.80	Professional		$54.95	$107.15	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,513.56 / $2,511.89	Facility		$309.03	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $190.55	Professional		$58.88	$107.15	$190.55