Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $3,460.00 / $6,915.00	Facility		$276.08	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $380.10 / $707.20	Professional		$164.96	$380.10	$707.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.47 / $293.47 / $629.96	Professional		$293.47	$293.47	$629.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.99 / $380.24 / $804.99	Professional		$194.99	$380.24	$804.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.92 / $290.92 / $290.92	Facility		$290.92	$290.92	$290.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.07 / $421.68 / $885.60	Professional		$202.07	$421.68	$885.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $373.24 / $869.54	Professional		$181.78	$373.24	$869.54
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 $391.33 / $614.24 / $974.55	Professional		$391.33	$614.24	$974.55