Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.96 / $5,063.00 / $7,421.00	Facility		$1,664.96	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,295.93 / $1,508.51 / $3,257.56	Professional		$1,295.93	$1,508.51	$3,257.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,311.10 / $2,311.10 / $2,311.10	Professional		$2,311.10	$2,311.10	$2,311.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $3,859.05 / $8,545.91	Facility		$1,380.70	$3,859.05	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.58 / $1,766.54 / $3,240.73	Professional		$1,204.58	$1,766.54	$3,240.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.41 / $1,880.78 / $3,239.49	Professional		$1,280.41	$1,880.78	$3,239.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,306.25 / $1,698.13 / $2,207.56	Professional		$1,306.25	$1,698.13	$2,207.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,253.34 / $1,709.57 / $3,158.12	Professional		$1,253.34	$1,709.57	$3,158.12