Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $288.40 / $812.83	Facility		$75.86	$288.40	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $181.97	Professional		$70.79	$81.28	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $154.88 / $181.97	Facility		$72.44	$154.88	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $169.82	Professional		$93.33	$120.23	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $61.66 / $316.23	Facility		$45.71	$61.66	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $213.80	Professional		$104.71	$144.54	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $223.87	Professional		$95.50	$95.50	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $109.65	Facility		$40.74	$69.18	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $194.98	Professional		$87.10	$114.82	$194.98