Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,570.88 / $7,943.28	Facility		$100.00	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $204.17	Professional		$57.54	$128.82	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $263.03	Professional		$123.03	$194.98	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $4,786.30	Facility		$1,071.52	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $169.82	Professional		$66.07	$95.50	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $338.84	Professional		$83.18	$162.18	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $147.91 / $218.78	Professional		$58.88	$147.91	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $5,370.32	Facility		$562.34	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $275.42	Professional		$66.07	$138.04	$275.42