Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $363.08	Facility		$66.07	$83.18	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $97.72	Professional		$61.66	$66.07	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $52.48 / $61.66	Professional		$51.29	$52.48	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $72.44 / $147.91	Facility		$61.66	$72.44	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $66.07	Professional		$64.57	$64.57	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $109.65	Professional		$51.29	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $302.00 / $416.87	Facility		$162.18	$302.00	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $114.82	Professional		$64.57	$79.43	$114.82