Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,630.78 / $7,413.10	Facility		$199.53	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $323.59	Professional		$104.71	$158.49	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $338.84	Professional		$151.36	$218.78	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $371.54	Professional		$144.54	$229.09	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $331.13	Professional		$104.71	$177.83	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $309.03	Professional		$120.23	$186.21	$309.03