Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,570.88 / $7,585.78	Facility		$199.53	$4,570.88	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $346.74	Professional		$112.20	$151.36	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
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 $138.04 / $194.98 / $295.12	Professional		$138.04	$194.98	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $346.74	Professional		$147.91	$234.42	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $295.12	Professional		$123.03	$181.97	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,187.76 / $3,467.37	Facility		$426.58	$2,187.76	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $323.59	Professional		$138.04	$190.55	$323.59