Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $5,490.00 / $10,807.00	Facility		$2,575.00	$5,490.00	$10,807.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $47.75 / $363.65	Professional		$47.75	$47.75	$363.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,360.54 / $7,050.74 / $13,165.98	Facility		$2,360.54	$7,050.74	$13,165.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $50.33 / $393.01	Professional		$50.33	$50.33	$393.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.05 / $525.27 / $767.70	Professional		$404.05	$525.27	$767.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,242.00 / $20,037.00	Facility		$2,303.00	$10,242.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $75.94 / $452.58	Professional		$52.62	$75.94	$452.58