Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $141.25 / $436.52	Facility		$20.42	$141.25	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $33.11	Professional		$19.95	$20.89	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.39 / $112.20	Facility		$20.42	$22.39	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Facility		$19.50	$19.50	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $125.89 / $208.93	Professional		$22.91	$125.89	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $64.57 / $91.20	Facility		$35.48	$64.57	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $102.33	Professional		$20.42	$20.42	$102.33