Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,344.23	Facility		$1,202.26	$1,819.70	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,570.40	Professional		$1,071.52	$1,412.54	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,318.26	Professional		$1,122.02	$1,318.26	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $6,025.60	Facility		$1,230.27	$3,311.31	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,511.89	Professional		$1,258.93	$1,698.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $3,090.30	Professional		$1,122.02	$2,137.96	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $2,884.03	Professional		$1,258.93	$1,380.38	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,311.31 / $10,000.00	Facility		$575.44	$3,311.31	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,818.38	Professional		$1,202.26	$1,621.81	$2,818.38