Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $245.47	Facility		$194.98	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $245.47	Professional		$112.20	$245.47	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $251.19 / $323.59	Facility		$125.89	$251.19	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $181.97	Professional		$107.15	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $257.04 / $354.81	Facility		$57.54	$257.04	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $147.91 / $147.91	Facility		$21.38	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $134.90 / $323.59	Professional		$18.62	$134.90	$323.59