Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,623.41 / $8,317.64	Facility		$2,511.89	$5,623.41	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,137.96	Professional		$691.83	$977.24	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,318.26	Professional		$660.69	$870.96	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,388.44 / $6,918.31	Facility		$1,412.54	$3,388.44	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,621.81	Professional		$758.58	$1,122.02	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $9,772.37	Facility		$4,168.69	$7,244.36	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $2,041.74	Professional		$676.08	$1,230.27	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $2,951.21	Professional		$537.03	$691.83	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional	22	$1,737.80	$1,737.80	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	52	$512.86	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,918.31 / $12,022.64	Facility		$1,737.80	$6,918.31	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,819.70	Professional		$676.08	$1,023.29	$1,819.70