Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $2,572.00 / $6,915.00	Facility		$91.23	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $100.29 / $206.27	Professional		$51.88	$100.29	$206.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $176.54 / $176.54	Professional		$154.38	$176.54	$176.54
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 $66.94 / $121.48 / $207.70	Professional		$66.94	$121.48	$207.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $78.04 / $78.04	Facility		$78.04	$78.04	$78.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $123.84 / $238.05	Professional		$67.90	$123.84	$238.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $105.12 / $182.25	Professional		$58.91	$105.12	$182.25
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $158.22 / $246.07	Professional		$96.74	$158.22	$246.07