Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $4,590.00 / $6,915.00	Facility		$42.50	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $76.43 / $132.55	Professional		$40.90	$76.43	$132.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
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 $49.88 / $87.19 / $153.40	Professional		$49.88	$87.19	$153.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $91.56 / $179.56	Professional		$50.66	$91.56	$179.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $80.25 / $111.61	Professional		$44.98	$80.25	$111.61
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 $71.72 / $109.29 / $175.82	Professional		$71.72	$109.29	$175.82