Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $5,063.00 / $7,631.00	Facility		$831.60	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.66 / $820.36 / $831.60	Professional		$589.66	$820.36	$831.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,081.88 / $6,611.20	Facility		$1,140.78	$3,081.88	$6,611.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.33 / $442.83 / $982.58	Professional		$250.33	$442.83	$982.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.01 / $869.71 / $1,271.11	Professional		$669.01	$869.71	$1,271.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.54 / $922.51 / $1,599.81	Professional		$601.54	$922.51	$1,599.81