Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $2,760.00 / $6,915.00	Facility		$31.55	$2,760.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $41.83 / $90.86	Professional		$26.66	$41.83	$90.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $50.63 / $50.63	Professional		$50.63	$50.63	$50.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $51.59 / $99.04	Professional		$33.85	$51.59	$99.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $59.55 / $91.97	Professional		$35.40	$59.55	$91.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $42.35 / $83.46	Professional		$30.94	$42.35	$83.46
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 $40.01 / $56.59 / $97.40	Professional		$40.01	$56.59	$97.40