Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.81 / $5,045.00 / $6,915.00	Facility		$1,551.81	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,337.14 / $1,551.81 / $3,087.14	Professional		$1,337.14	$1,551.81	$3,087.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,957.00 / $2,957.00 / $2,957.00	Professional		$2,957.00	$2,957.00	$2,957.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,344.10 / $2,082.69 / $3,674.37	Professional		$1,344.10	$2,082.69	$3,674.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.32 / $2,346.44 / $3,869.69	Professional		$1,461.32	$2,346.44	$3,869.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,601.24 / $1,868.12 / $3,355.09	Professional		$1,601.24	$1,868.12	$3,355.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,398.50 / $1,889.43 / $3,353.90	Professional		$1,398.50	$1,889.43	$3,353.90