Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $64.64 / $71.81	Facility		$40.11	$64.64	$71.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $78.08 / $152.00	Professional		$43.42	$78.08	$152.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $140.00 / $245.03	Professional		$91.22	$140.00	$245.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $98.98 / $181.55	Professional		$79.36	$98.98	$181.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $114.51 / $205.57	Professional		$63.79	$114.51	$205.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $131.97 / $250.00	Professional		$87.48	$131.97	$250.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $105.08 / $247.88	Professional		$76.58	$105.08	$247.88