Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,548.13 / $7,413.10	Facility		$229.09	$3,548.13	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	50	$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $302.00	Professional		$107.15	$177.83	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $562.34 / $2,344.23	Professional	50	$72.44	$562.34	$2,344.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $223.87	Professional	50	$190.55	$190.55	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $234.42	Professional		$97.72	$158.49	$234.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $239.88 / $354.81	Professional	50	$158.49	$239.88	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $426.58	Professional		$128.82	$234.42	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $288.40	Professional		$104.71	$190.55	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,513.56 / $2,511.89	Facility		$181.97	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $354.81	Professional		$109.65	$190.55	$354.81