Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $52.48 / $85.11	Facility		$20.89	$52.48	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $89.13	Professional		$23.99	$52.48	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
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 $35.48 / $66.07 / $114.82	Professional		$35.48	$66.07	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $128.82	Professional		$35.48	$61.66	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $53.70 / $93.33	Professional		$22.91	$53.70	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,511.89	Facility		$177.83	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $107.15	Professional		$29.51	$54.95	$107.15