Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $134.90 / $208.93	Facility		$1.29	$134.90	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $288.40	Professional		$165.96	$208.93	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $199.53	Professional		$89.13	$151.36	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $524.81	Facility		$223.87	$263.03	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $407.38	Professional		$141.25	$309.03	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $489.78 / $676.08	Facility		$263.03	$489.78	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $398.11	Professional		$223.87	$269.15	$398.11