Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,460.00 / $6,915.00	Facility		$1,202.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $46.38 / $61.98	Professional		$36.90	$46.38	$61.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.35 / $2,490.09 / $4,221.47	Facility		$794.35	$2,490.09	$4,221.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $35.86 / $86.35	Professional		$27.75	$35.86	$86.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $114.47 / $161.21	Professional		$95.39	$114.47	$161.21
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $29.42 / $144.87	Professional		$19.82	$29.42	$144.87