Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.38 / $2,595.00 / $6,915.00	Facility		$202.38	$2,595.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $202.38 / $451.44	Professional		$155.30	$202.38	$451.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $109.34 / $109.34	Professional		$109.34	$109.34	$109.34
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 $174.25 / $250.31 / $421.98	Professional		$174.25	$250.31	$421.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.77 / $419.77 / $419.77	Facility		$419.77	$419.77	$419.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $304.79 / $447.98	Professional		$192.56	$304.79	$447.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.62 / $213.42 / $899.00	Professional		$167.62	$213.42	$899.00
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $265.72 / $481.71	Professional		$189.84	$265.72	$481.71