Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.69 / $4,590.00 / $6,915.00	Facility		$220.69	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.22 / $283.14 / $568.47	Professional		$178.22	$283.14	$568.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $184.68 / $469.03	Professional		$184.68	$184.68	$469.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.37 / $358.89 / $595.96	Professional		$229.37	$358.89	$595.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.30 / $1,239.30 / $1,239.30	Facility		$1,239.30	$1,239.30	$1,239.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.86 / $380.85 / $638.82	Professional		$223.86	$380.85	$638.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.41 / $314.19 / $643.39	Professional		$230.41	$314.19	$643.39
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 $235.49 / $339.70 / $590.98	Professional		$235.49	$339.70	$590.98