Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,019.95 / $7,413.10	Facility		$169.82	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $117.49 / $257.04	Professional		$56.23	$117.49	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $165.96	Professional		$28.18	$28.18	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,290.87 / $4,786.30	Facility		$794.33	$2,290.87	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $218.78	Professional		$74.13	$128.82	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $302.00	Professional		$79.43	$151.36	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $131.83 / $218.78	Professional		$56.23	$131.83	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,754.40 / $8,511.38	Facility		$1,513.56	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $245.47	Professional		$64.57	$128.82	$245.47