Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.25 / $3,460.00 / $6,915.00	Facility		$954.25	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $149.38 / $749.38	Professional		$119.73	$149.38	$749.38
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 $66.98 / $77.30 / $183.37	Professional		$66.98	$77.30	$183.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.41 / $413.41 / $413.41	Professional		$413.41	$413.41	$413.41
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $65.25 / $212.28	Professional		$46.92	$65.25	$212.28