Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $3,018.00 / $9,073.20	Facility		$295.70	$3,018.00	$9,073.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.65 / $59.14 / $100.74	Facility	53	$24.65	$59.14	$100.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $348.40 / $751.06	Professional		$147.01	$348.40	$751.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $564.74 / $613.11 / $613.11	Professional		$564.74	$613.11	$613.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,600.00 / $5,763.00	Facility		$775.91	$2,600.00	$5,763.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.87 / $370.08 / $669.34	Professional		$194.87	$370.08	$669.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,114.90 / $6,918.00 / $9,852.00	Facility		$2,114.90	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.93 / $376.37 / $780.94	Professional		$206.93	$376.37	$780.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $363.25 / $661.42	Professional		$164.59	$363.25	$661.42
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $131.97 / $131.97 / $291.27	Professional	53	$131.97	$131.97	$291.27
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 $278.31 / $417.46 / $798.40	Professional		$278.31	$417.46	$798.40