Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,025.60 / $10,964.78	Facility		$1,949.84	$6,025.60	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,570.40	Professional		$1,122.02	$1,288.25	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,890.45 / $6,918.31	Facility		$1,548.82	$3,890.45	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,398.83	Professional		$1,174.90	$1,698.24	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $3,235.94	Professional		$1,148.15	$1,995.26	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $3,019.95	Professional		$1,174.90	$1,412.54	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,918.31 / $12,022.64	Facility		$1,737.80	$6,918.31	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,691.53	Professional		$1,148.15	$1,584.89	$2,691.53