Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $2,361.59 / $3,626.00	Facility		$2,100.00	$2,361.59	$3,626.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,201.46 / $7,188.59	Professional		$2,100.00	$3,201.46	$7,188.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,666.55 / $4,666.55 / $4,878.72	Professional		$4,666.55	$4,666.55	$4,878.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,195.69 / $3,395.80 / $5,846.99	Professional		$2,195.69	$3,395.80	$5,846.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.27 / $3,378.99 / $5,136.00	Professional		$2,194.27	$3,378.99	$5,136.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,250.00 / $2,587.50 / $4,268.76	Professional		$2,250.00	$2,587.50	$4,268.76
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,184.69 / $2,929.61 / $5,774.81	Professional		$2,184.69	$2,929.61	$5,774.81