Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $2,800.00 / $6,726.00	Facility		$108.28	$2,800.00	$6,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $108.28 / $228.08	Professional		$74.84	$108.28	$228.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $125.49 / $125.49	Professional		$93.22	$125.49	$125.49
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 $78.68 / $117.68 / $196.20	Professional		$78.68	$117.68	$196.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $64.14 / $64.14	Facility		$64.14	$64.14	$64.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $165.44 / $250.92	Professional		$101.76	$165.44	$250.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $122.97 / $198.39	Professional		$81.08	$122.97	$198.39
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 $114.64 / $163.94 / $252.50	Professional		$114.64	$163.94	$252.50