Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,592.00 / $6,915.00	Facility		$1,202.00	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.04 / $137.37 / $142.80	Professional		$134.04	$137.37	$142.80
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 $94.71 / $141.11 / $225.77	Professional		$94.71	$141.11	$225.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $175.15 / $304.60	Professional		$152.30	$175.15	$304.60
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 $146.40 / $189.41 / $310.04	Professional		$146.40	$189.41	$310.04