Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.29 / $1,791.00 / $5,367.00	Facility		$144.29	$1,791.00	$5,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $177.26 / $400.00	Professional		$93.23	$177.26	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $137.90 / $336.63	Professional		$132.80	$137.90	$336.63
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 $118.49 / $198.01 / $357.78	Professional		$118.49	$198.01	$357.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.40 / $137.40 / $137.40	Facility		$137.40	$137.40	$137.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $191.61 / $366.67	Professional		$111.62	$191.61	$366.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $197.45 / $269.25	Professional		$119.04	$197.45	$269.25
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 $136.91 / $207.67 / $380.64	Professional		$136.91	$207.67	$380.64