Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $7,413.10	Facility		$2,290.87	$4,365.16	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $47.86 / $69.18	Professional		$19.95	$47.86	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,344.23 / $4,168.69	Facility		$794.33	$2,344.23	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $72.44	Professional		$27.54	$32.36	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $138.04	Professional		$81.28	$97.72	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,511.89	Facility		$177.83	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $141.25	Professional		$19.95	$28.84	$141.25