Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $371.54	Facility		$83.18	$158.49	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $154.88	Professional		$83.18	$83.18	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $72.44	Professional		$63.10	$63.10	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $199.53	Facility		$85.11	$100.00	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $125.89	Professional		$87.10	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $77.62 / $134.90	Professional		$2.14	$77.62	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $257.04 / $363.08	Facility		$138.04	$257.04	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $144.54	Professional		$85.11	$131.83	$144.54