Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $7,585.78	Facility		$2,570.40	$5,370.32	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $2,089.30 / $4,466.84	Facility	50	$2,089.30	$2,089.30	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,884.03 / $6,309.57	Professional		$251.19	$2,884.03	$6,309.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $9,332.54 / $9,772.37 / $10,232.93	Professional	50	$9,332.54	$9,772.37	$10,232.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,754.23	Professional		$2,630.27	$2,630.27	$2,754.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $3,890.45 / $7,943.28	Professional	50	$208.93	$3,890.45	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,677.35 / $9,772.37	Facility		$1,995.26	$4,677.35	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $831.76 / $6,456.54	Professional		$338.84	$831.76	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $501.19 / $1,230.27 / $9,772.37	Professional	50	$501.19	$1,230.27	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $46.77 / $114.82 / $912.01	Professional	AS	$46.77	$114.82	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,137.96 / $7,079.46	Professional		$323.59	$2,137.96	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $3,019.95 / $5,754.40	Professional		$218.78	$3,019.95	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $7.94 / $7.94 / $91.20	Professional	AS	$7.94	$7.94	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,754.40 / $8,511.38	Facility		$1,513.56	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,311.31 / $7,079.46	Professional		$269.15	$3,311.31	$7,079.46