Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.72 / $3,360.00 / $6,915.00	Facility		$90.72	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $92.24 / $169.43	Professional		$64.43	$92.24	$169.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.34 / $161.34 / $161.34	Professional		$161.34	$161.34	$161.34
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 $72.70 / $116.50 / $201.27	Professional		$72.70	$116.50	$201.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $53.12 / $53.12	Facility		$53.12	$53.12	$53.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $126.50 / $212.40	Professional		$76.54	$126.50	$212.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $104.28 / $134.19	Professional		$71.75	$104.28	$134.19
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 $87.60 / $134.13 / $201.43	Professional		$87.60	$134.13	$201.43