Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $7,079.46	Facility		$660.69	$2,344.23	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,479.11 / $2,884.03 / $6,309.57	Facility	50	$1,479.11	$2,884.03	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $398.11	Professional		$97.72	$186.21	$398.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $199.53 / $436.52	Professional	50	$85.11	$199.53	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $151.36	Professional		$69.18	$138.04	$151.36
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $208.93 / $724.44	Professional	50	$204.17	$208.93	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $4,786.30	Facility		$1,000.00	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $331.13	Professional		$158.49	$245.47	$331.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $371.54 / $501.19	Professional	50	$239.88	$371.54	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $416.87	Professional		$190.55	$263.03	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $524.81	Professional		$141.25	$173.78	$524.81
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 $154.88 / $218.78 / $389.05	Professional		$154.88	$218.78	$389.05