Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.86 / $75.86	Facility		$30.20	$47.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $54.95	Professional		$30.20	$32.36	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $24.55 / $28.84	Professional		$8.71	$24.55	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $104.71	Facility		$29.51	$35.48	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $61.66 / $70.79	Professional		$28.18	$61.66	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $60.26	Professional		$33.88	$36.31	$60.26