Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.77 / $5,063.00 / $7,631.00	Facility		$673.77	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.65 / $664.66 / $673.77	Professional		$242.65	$664.66	$673.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,491.93 / $4,469.68 / $9,523.08	Facility		$1,491.93	$4,469.68	$9,523.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.45 / $695.56 / $2,017.93	Professional		$556.45	$695.56	$2,017.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,177.28 / $3,177.28 / $3,177.28	Facility		$3,177.28	$3,177.28	$3,177.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.62 / $323.54 / $455.66	Professional		$269.62	$323.54	$455.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.67 / $880.64 / $1,304.53	Professional		$550.67	$880.64	$1,304.53