Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $2,083.50 / $6,726.00	Facility		$228.43	$2,083.50	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $228.43 / $486.55	Professional		$137.13	$228.43	$486.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.52 / $165.52 / $404.07	Professional		$165.52	$165.52	$404.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.81 / $271.74 / $459.77	Professional		$160.81	$271.74	$459.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.10 / $165.10 / $165.10	Facility		$165.10	$165.10	$165.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.34 / $284.41 / $516.91	Professional		$161.34	$284.41	$516.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $250.52 / $692.10	Professional		$151.63	$250.52	$692.10
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 $218.78 / $328.38 / $538.46	Professional		$218.78	$328.38	$538.46