Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $169.82	Facility		$112.20	$112.20	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $309.03	Professional		$112.20	$120.23	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $104.71	Professional		$97.72	$97.72	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $616.60	Facility		$112.20	$181.97	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $112.20	Facility		$104.71	$104.71	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $295.12 / $295.12	Professional		$123.03	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $346.74	Facility		$125.89	$245.47	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $275.42	Professional		$112.20	$112.20	$275.42