Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.16 / $4,467.00 / $6,915.00	Facility		$584.16	$4,467.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.68 / $594.39 / $1,108.38	Professional		$419.68	$594.39	$1,108.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $495.79 / $495.79 / $495.79	Professional		$495.79	$495.79	$495.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,706.44 / $5,240.56	Facility		$992.53	$2,706.44	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.30 / $775.88 / $1,289.78	Professional		$499.30	$775.88	$1,289.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.79 / $638.40 / $1,238.80	Professional		$433.79	$638.40	$1,238.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.99 / $662.68 / $1,112.92	Professional		$487.99	$662.68	$1,112.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,136.00 / $5,352.00	Facility		$1,269.00	$3,136.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.35 / $749.45 / $1,492.02	Professional		$506.35	$749.45	$1,492.02