Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,128.61 / $7,413.10	Facility		$3,162.28	$5,128.61	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $2,089.30	Professional		$676.08	$977.24	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $1,412.54	Professional		$758.58	$1,288.25	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $6,025.60	Facility		$1,230.27	$3,162.28	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,819.70	Professional		$794.33	$1,230.27	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,238.72	Facility		$1,258.93	$1,258.93	$2,238.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	AS	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,905.46	Professional		$776.25	$1,174.90	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $4,073.80	Professional		$794.33	$1,148.15	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	AS	$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,659.59	Professional		$645.65	$1,000.00	$1,659.59