Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $2,987.00 / $6,915.00	Facility		$100.33	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $124.97 / $245.50	Professional		$77.37	$124.97	$245.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.94 / $213.94 / $213.94	Professional		$213.94	$213.94	$213.94
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 $99.03 / $161.81 / $277.68	Professional		$99.03	$161.81	$277.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $82.94 / $82.94	Facility		$82.94	$82.94	$82.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $175.39 / $298.97	Professional		$101.96	$175.39	$298.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $139.85 / $265.76	Professional		$91.03	$139.85	$265.76
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $160.93 / $267.14	Professional		$118.07	$160.93	$267.14