Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.15 / $3,559.20 / $6,519.00	Facility		$134.15	$3,559.20	$6,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $145.00 / $260.23	Professional		$94.43	$145.00	$260.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $119.63 / $119.63	Professional		$119.63	$119.63	$119.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $169.99 / $302.64	Professional		$113.83	$169.99	$302.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $169.52 / $333.49	Professional		$116.17	$169.52	$333.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $168.27 / $213.85	Professional		$120.02	$168.27	$213.85
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 $142.40 / $200.77 / $385.56	Professional		$142.40	$200.77	$385.56