Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $3,391.00 / $6,915.00	Facility		$98.70	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $69.11 / $163.88	Professional		$51.78	$69.11	$163.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $115.11 / $115.11	Professional		$115.11	$115.11	$115.11
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 $55.62 / $93.52 / $197.58	Professional		$55.62	$93.52	$197.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.59 / $469.59 / $469.59	Facility		$469.59	$469.59	$469.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $113.96 / $205.92	Professional		$71.25	$113.96	$205.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $77.38 / $194.69	Professional		$55.27	$77.38	$194.69
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 $58.76 / $95.50 / $148.72	Professional		$58.76	$95.50	$148.72