Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.25 / $2,572.00 / $6,915.00	Facility		$107.25	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $112.76 / $275.58	Professional		$71.30	$112.76	$275.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $215.85 / $215.85	Professional		$215.85	$215.85	$215.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $116.59 / $217.54	Professional		$81.17	$116.59	$217.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $100.00	Facility		$75.98	$75.98	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $160.71 / $259.50	Professional		$95.40	$160.71	$259.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $133.69 / $217.63	Professional		$87.80	$133.69	$217.63
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 $125.05 / $179.19 / $305.25	Professional		$125.05	$179.19	$305.25