Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,630.78 / $7,413.10	Facility		$630.96	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $331.13	Professional		$95.50	$128.82	$331.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $102.33 / $309.03	Professional	52	$43.65	$102.33	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $281.84	Professional		$190.55	$190.55	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $3,548.13	Facility		$758.58	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $229.09	Professional		$114.82	$158.49	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $2,511.89	Facility		$186.21	$186.21	$2,511.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	52	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $302.00	Professional		$114.82	$173.78	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $977.24	Professional		$128.82	$186.21	$977.24
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $114.82 / $114.82 / $131.83	Professional	52	$114.82	$114.82	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $263.03	Professional		$93.33	$144.54	$263.03