Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $6,900.00 / $12,941.00	Facility		$2,800.00	$6,900.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.49 / $857.64 / $869.40	Professional		$661.49	$857.64	$869.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,720.36 / $7,874.27 / $21,592.00	Facility		$2,720.36	$7,874.27	$21,592.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.52 / $904.90 / $904.90	Professional		$582.52	$904.90	$904.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.80 / $944.84 / $1,380.92	Professional		$726.80	$944.84	$1,380.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,750.00 / $16,140.00 / $56,734.00	Facility		$6,750.00	$16,140.00	$56,734.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.10 / $1,357.29 / $2,179.44	Professional		$945.10	$1,357.29	$2,179.44