Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.85 / $2,800.00 / $6,915.00	Facility		$105.85	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $136.47 / $296.67	Professional		$81.94	$136.47	$296.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.80 / $229.89 / $242.51	Professional		$227.80	$229.89	$242.51
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 $105.11 / $170.49 / $292.75	Professional		$105.11	$170.49	$292.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.44 / $87.44 / $87.44	Facility		$87.44	$87.44	$87.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $185.13 / $313.92	Professional		$108.54	$185.13	$313.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $149.90 / $265.76	Professional		$97.57	$149.90	$265.76
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 $125.02 / $169.36 / $283.39	Professional		$125.02	$169.36	$283.39