Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $2,987.00 / $6,915.00	Facility		$81.48	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $88.18 / $187.24	Professional		$49.36	$88.18	$187.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $156.46 / $156.46	Professional		$156.46	$156.46	$156.46
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 $62.81 / $105.45 / $179.73	Professional		$62.81	$105.45	$179.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $94.68 / $177.88	Professional		$52.53	$94.68	$177.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $101.21 / $216.04	Professional		$59.35	$101.21	$216.04
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,550.00 / $2,665.00	Facility		$450.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $132.69 / $221.03	Professional		$84.46	$132.69	$221.03