Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $416.87 / $512.86	Facility		$141.25	$416.87	$512.86
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $181.97	Facility		$30.90	$35.48	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $371.54	Facility		$70.79	$89.13	$371.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90