Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.30 / $2,987.00 / $6,915.00	Facility		$145.30	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $175.89 / $354.59	Professional		$124.13	$175.89	$354.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $133.36 / $133.36	Professional		$133.36	$133.36	$133.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,322.50 / $5,240.56	Facility		$775.91	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $243.49 / $425.28	Professional		$159.97	$243.49	$425.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,114.90 / $2,114.90 / $2,114.90	Facility		$2,114.90	$2,114.90	$2,114.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $253.43 / $417.05	Professional		$156.62	$253.43	$417.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $213.44 / $276.85	Professional		$167.63	$213.44	$276.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.77 / $217.11 / $382.51	Professional		$158.77	$217.11	$382.51