Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.47 / $28.18	Professional		$6.76	$10.47	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $18.62 / $30.20	Facility		$9.12	$18.62	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $12.02	Professional		$7.76	$9.12	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $66.07	Facility		$57.54	$57.54	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $36.31	Professional		$28.84	$28.84	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $177.83	Professional		$131.83	$131.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.22 / $23.99	Facility		$11.22	$16.22	$23.99