Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.44 / $5,063.00 / $7,762.96	Facility		$1,466.44	$5,063.00	$7,762.96
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $371.31 / $610.27 / $773.96	Facility	52	$371.31	$610.27	$773.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.84 / $897.87 / $2,096.94	Professional		$703.84	$897.87	$2,096.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,064.26 / $1,274.78 / $1,323.74	Professional		$1,064.26	$1,274.78	$1,323.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $3,839.45 / $8,545.91	Facility		$1,376.26	$3,839.45	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $1,058.93 / $2,052.32	Professional		$717.60	$1,058.93	$2,052.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $6,918.00 / $9,852.00	Facility		$3,185.25	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.36 / $1,303.51 / $2,182.50	Professional		$840.36	$1,303.51	$2,182.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.99 / $926.89 / $2,922.24	Professional		$712.99	$926.89	$2,922.24
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,755.59 / $1,755.59 / $1,755.59	Professional	22	$1,755.59	$1,755.59	$1,755.59
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $512.04 / $512.04 / $512.04	Professional	52	$512.04	$512.04	$512.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.01 / $1,159.90 / $1,907.32	Professional		$759.01	$1,159.90	$1,907.32