Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.61 / $2,531.50 / $6,915.00	Facility		$91.61	$2,531.50	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $96.09 / $195.12	Professional		$74.92	$96.09	$195.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $167.32	Professional		$162.97	$162.97	$167.32
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 $77.22 / $119.11 / $208.81	Professional		$77.22	$119.11	$208.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $58.02 / $58.02	Facility		$58.02	$58.02	$58.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $136.56 / $225.28	Professional		$88.33	$136.56	$225.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $109.55 / $135.18	Professional		$83.98	$109.55	$135.18
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 $91.20 / $131.08 / $218.19	Professional		$91.20	$131.08	$218.19