Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $257.04	Professional		$147.91	$181.97	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $165.96	Professional		$144.54	$144.54	$165.96
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	25	$169.82	$169.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $467.74	Professional		$190.55	$234.42	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $467.74	Professional		$213.80	$223.87	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $426.58	Professional		$213.80	$263.03	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $407.38	Professional		$147.91	$229.09	$407.38