Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.94 / $6,726.00 / $9,512.00	Facility		$387.94	$6,726.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.17 / $382.71 / $387.94	Professional		$295.17	$382.71	$387.94
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 $379.64 / $400.34 / $641.10	Professional		$379.64	$400.34	$641.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.87 / $514.63 / $752.15	Professional		$395.87	$514.63	$752.15
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 $421.72 / $604.45 / $1,067.34	Professional		$421.72	$604.45	$1,067.34