Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $165.96	Facility		$74.13	$131.83	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $190.55	Professional		$109.65	$162.18	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $147.91	Professional		$131.83	$131.83	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $380.19	Facility		$158.49	$186.21	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $151.36	Professional		$77.62	$147.91	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $58.88 / $67.61	Professional		$2.14	$58.88	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $229.09 / $323.59	Facility		$125.89	$229.09	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $281.84	Professional		$162.18	$194.98	$281.84