Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $4,590.00 / $6,915.00	Facility		$51.39	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $78.51 / $171.19	Professional		$44.75	$78.51	$171.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.93 / $35.57 / $65.98	Professional	52	$18.93	$35.57	$65.98
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $7.77 / $14.23 / $26.85	Professional	53	$7.77	$14.23	$26.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $69.59 / $134.86	Professional		$69.59	$69.59	$134.86
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 $54.82 / $98.16 / $173.91	Professional		$54.82	$98.16	$173.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $48.62 / $48.62	Facility		$48.62	$48.62	$48.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $99.00 / $175.29	Professional		$57.56	$99.00	$175.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $79.90 / $112.95	Professional		$49.75	$79.90	$112.95
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $39.89 / $39.89 / $64.06	Professional	52	$39.89	$39.89	$64.06
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $39.89 / $39.89 / $64.06	Professional	53	$39.89	$39.89	$64.06
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 $70.65 / $102.32 / $162.07	Professional		$70.65	$102.32	$162.07