Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,630.78 / $7,413.10	Facility		$162.18	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $223.87	Professional		$93.33	$125.89	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $229.09	Professional		$117.49	$169.82	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $281.84	Professional		$123.03	$190.55	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $204.17	Professional		$87.10	$144.54	$204.17
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 $102.33 / $154.88 / $263.03	Professional		$102.33	$154.88	$263.03