Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $2,800.00 / $6,915.00	Facility		$142.69	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $184.19 / $380.09	Professional		$111.38	$184.19	$380.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.83 / $323.79 / $323.79	Professional		$304.83	$323.79	$323.79
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 $142.55 / $232.24 / $390.37	Professional		$142.55	$232.24	$390.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.78 / $112.78 / $112.78	Facility		$112.78	$112.78	$112.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $243.73 / $418.55	Professional		$148.00	$243.73	$418.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $200.56 / $398.66	Professional		$132.24	$200.56	$398.66
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $227.73 / $415.46	Professional		$169.05	$227.73	$415.46