Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,388.44 / $7,413.10	Facility		$275.42	$3,388.44	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $467.74	Professional		$77.62	$194.98	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $407.38 / $691.83	Professional	50	$112.20	$407.38	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $380.19 / $501.19	Professional		$74.13	$380.19	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $3,548.13	Facility		$758.58	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $223.87	Professional		$85.11	$128.82	$223.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $194.98 / $338.84	Professional	50	$128.82	$194.98	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $537.03	Professional		$107.15	$208.93	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $251.19 / $407.38	Professional		$72.44	$251.19	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,513.56 / $2,511.89	Facility		$190.55	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $407.38	Professional		$83.18	$199.53	$407.38