Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,467.37 / $7,079.46	Facility		$660.69	$3,467.37	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $3,311.31 / $13,803.84	Facility	50	$2,884.03	$3,311.31	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $389.05 / $1,174.90	Professional		$95.50	$389.05	$1,174.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $346.74 / $2,041.74	Professional	50	$138.04	$346.74	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $1,202.26	Professional		$85.11	$138.04	$1,202.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $134.90 / $1,778.28	Professional	50	$128.82	$134.90	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $4,786.30	Facility		$1,071.52	$2,818.38	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $407.38 / $794.33	Professional		$128.82	$407.38	$794.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $645.65 / $1,202.26	Professional	50	$190.55	$645.65	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $1,230.27	Professional		$134.90	$323.59	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $416.87 / $977.24	Professional		$89.13	$416.87	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,187.76 / $3,467.37	Facility		$426.58	$2,187.76	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $478.63 / $1,047.13	Professional		$104.71	$478.63	$1,047.13