Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.10 / $5,063.00 / $9,488.00	Facility		$954.10	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.92 / $644.14 / $1,570.51	Professional		$468.92	$644.14	$1,570.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,012.09 / $1,012.09 / $1,073.52	Professional		$1,012.09	$1,012.09	$1,073.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.53 / $2,827.85 / $5,240.56	Facility		$1,162.53	$2,827.85	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.28 / $822.65 / $1,526.25	Professional		$585.28	$822.65	$1,526.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,114.90 / $2,114.90 / $2,114.90	Facility		$2,114.90	$2,114.90	$2,114.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.66 / $936.53 / $1,446.88	Professional		$566.66	$936.53	$1,446.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.22 / $751.69 / $1,330.25	Professional		$578.22	$751.69	$1,330.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.31 / $23.31 / $23.31	Professional	AS	$23.31	$23.31	$23.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $736.02 / $1,377.44	Professional		$553.84	$736.02	$1,377.44