Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.11 / $3,768.10 / $6,915.00	Facility		$183.11	$3,768.10	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $211.91 / $401.98	Professional		$120.82	$211.91	$401.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $716.76 / $716.76 / $716.76	Professional		$716.76	$716.76	$716.76
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 $140.69 / $251.85 / $432.79	Professional		$140.69	$251.85	$432.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.49 / $194.49 / $194.49	Facility		$194.49	$194.49	$194.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $259.38 / $464.37	Professional		$151.51	$259.38	$464.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $227.12 / $277.26	Professional		$136.13	$227.12	$277.26
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 $199.67 / $279.16 / $541.08	Professional		$199.67	$279.16	$541.08