Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.25 / $1,482.00 / $5,063.00	Facility		$73.25	$1,482.00	$5,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $80.15 / $155.07	Professional		$47.42	$80.15	$155.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $57.43 / $57.43	Professional		$57.43	$57.43	$57.43
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 $56.11 / $90.03 / $159.36	Professional		$56.11	$90.03	$159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $90.16 / $182.53	Professional		$58.84	$90.16	$182.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $92.20 / $117.45	Professional		$60.63	$92.20	$117.45
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $103.78 / $191.97	Professional		$73.78	$103.78	$191.97