Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $26.30 / $30.90	Facility		$8.91	$26.30	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $24.55	Professional		$8.91	$8.91	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $28.18 / $66.07	Facility		$1.17	$28.18	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $32.36	Professional		$10.96	$10.96	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $208.93	Professional		$158.49	$158.49	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.79 / $23.99	Facility		$10.47	$14.79	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $35.48	Professional		$10.23	$14.45	$35.48