Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.43 / $2,572.00 / $6,900.00	Facility		$178.43	$2,572.00	$6,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.69 / $155.13 / $270.81	Professional		$101.69	$155.13	$270.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $88.71 / $88.71	Professional		$88.71	$88.71	$88.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $3,058.60 / $10,479.08	Facility		$996.37	$3,058.60	$10,479.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $189.68 / $317.64	Professional		$123.31	$189.68	$317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.30 / $1,215.30 / $1,215.30	Facility		$1,215.30	$1,215.30	$1,215.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $212.06 / $349.55	Professional		$122.86	$212.06	$349.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $174.05 / $408.72	Professional		$114.87	$174.05	$408.72
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $14,884.00	Facility		$607.00	$3,218.00	$14,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $214.41 / $364.32	Professional		$148.10	$214.41	$364.32