Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $4,014.00 / $6,915.00	Facility		$305.93	$4,014.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $331.98 / $639.48	Professional		$153.88	$331.98	$639.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $275.00 / $552.82	Professional		$137.50	$275.00	$552.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.31 / $344.33 / $668.67	Professional		$188.31	$344.33	$668.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $361.89 / $692.53	Professional		$188.73	$361.89	$692.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $327.54 / $538.95	Professional		$170.34	$327.54	$538.95
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $364.72 / $364.72 / $733.15	Professional	22	$364.72	$364.72	$733.15
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.54 / $461.40 / $715.97	Professional		$309.54	$461.40	$715.97