Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $489.78 / $870.96	Facility		$169.82	$489.78	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $338.84	Professional		$169.82	$229.09	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Professional		$169.82	$177.83	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $331.13 / $446.68	Facility		$125.89	$331.13	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $281.84	Professional		$114.82	$125.89	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $416.87 / $776.25	Facility		$257.04	$416.87	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $776.25	Professional		$128.82	$263.03	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $1,995.26	Professional		$165.96	$295.12	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $229.09 / $316.23	Facility		$213.80	$229.09	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $363.08	Professional		$67.61	$120.23	$363.08