Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.25 / $4,014.00 / $6,915.00	Facility		$363.25	$4,014.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $248.82 / $477.11	Professional		$208.30	$248.82	$477.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $379.45 / $379.45 / $379.45	Professional		$379.45	$379.45	$379.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.59 / $301.94 / $570.74	Professional		$205.59	$301.94	$570.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.77 / $352.20 / $544.12	Professional		$240.77	$352.20	$544.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $265.69 / $345.40	Professional		$204.38	$265.69	$345.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,136.00 / $5,352.00	Facility		$1,162.00	$3,136.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.23 / $315.37 / $536.62	Professional		$219.23	$315.37	$536.62