Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,168.69 / $7,413.10	Facility		$416.87	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $371.54 / $794.33	Professional		$141.25	$371.54	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $630.96	Professional		$117.49	$177.83	$630.96
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 $186.21 / $331.13 / $758.58	Professional		$186.21	$331.13	$758.58
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 $186.21 / $371.54 / $851.14	Professional		$186.21	$371.54	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $363.08 / $537.03	Professional		$128.82	$363.08	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $338.84 / $338.84 / $851.14	Professional	22	$338.84	$338.84	$851.14
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 $147.91 / $380.19 / $870.96	Professional		$147.91	$380.19	$870.96