Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,623.41 / $9,549.93	Facility		$691.83	$5,623.41	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $7,244.36 / $14,454.40	Facility	50	$4,365.16	$7,244.36	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,318.26	Professional		$467.74	$602.56	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $1,122.02 / $2,630.27	Professional	50	$691.83	$1,122.02	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,047.13	Professional		$524.81	$524.81	$1,047.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $831.76 / $1,548.82	Professional	50	$602.56	$831.76	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,884.03 / $4,786.30	Facility		$1,174.90	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,148.15	Professional		$575.44	$676.08	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $1,000.00 / $1,737.80	Professional	50	$851.14	$1,000.00	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,202.26	Professional		$446.68	$645.65	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,698.24	Professional		$537.03	$707.95	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,370.32	Facility		$1,047.13	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,380.38	Professional		$524.81	$776.25	$1,380.38