Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.91 / $2,595.00 / $6,726.00	Facility		$116.91	$2,595.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $150.78 / $383.57	Professional		$110.75	$150.78	$383.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $232.91 / $264.64	Professional		$158.91	$232.91	$264.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $194.40 / $337.57	Professional		$126.91	$194.40	$337.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.06 / $107.06 / $107.06	Facility		$107.06	$107.06	$107.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $201.76 / $327.37	Professional		$118.39	$201.76	$327.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $171.05 / $213.81	Professional		$138.00	$171.05	$213.81
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 $117.54 / $173.12 / $309.60	Professional		$117.54	$173.12	$309.60