Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $2,572.00 / $6,915.00	Facility		$149.91	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $189.61 / $400.72	Professional		$109.48	$189.61	$400.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.07 / $244.07 / $318.44	Professional		$244.07	$244.07	$318.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,476.23 / $5,240.56	Facility		$775.91	$2,476.23	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $215.49 / $380.23	Professional		$138.75	$215.49	$380.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.76 / $159.76 / $159.76	Facility		$159.76	$159.76	$159.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $216.67 / $378.99	Professional		$135.75	$216.67	$378.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $201.85 / $278.94	Professional		$144.61	$201.85	$278.94
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $213.85 / $408.87	Professional		$144.10	$213.85	$408.87