Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $3,501.00 / $6,915.00	Facility		$107.47	$3,501.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $118.64 / $240.38	Professional		$88.09	$118.64	$240.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $213.94 / $213.94	Professional		$213.94	$213.94	$213.94
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 $95.75 / $148.21 / $266.88	Professional		$95.75	$148.21	$266.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $93.56 / $93.56	Facility		$93.56	$93.56	$93.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $162.79 / $277.38	Professional		$99.42	$162.79	$277.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $138.28 / $172.85	Professional		$100.25	$138.28	$172.85
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 $114.25 / $162.99 / $268.32	Professional		$114.25	$162.99	$268.32