Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.87 / $3,295.00 / $6,915.00	Facility		$205.87	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $205.87 / $428.18	Professional		$131.80	$205.87	$428.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $262.83 / $262.83	Professional		$262.83	$262.83	$262.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $209.55 / $384.04	Professional		$148.69	$209.55	$384.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.18 / $151.18 / $151.18	Facility		$151.18	$151.18	$151.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $272.06 / $447.81	Professional		$166.37	$272.06	$447.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $247.53 / $367.51	Professional		$161.12	$247.53	$367.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.76 / $278.45 / $469.72	Professional		$199.76	$278.45	$469.72