Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,460.00 / $6,915.00	Facility		$1,202.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $166.17 / $168.44	Professional		$131.44	$166.17	$168.44
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 $142.10 / $173.29 / $340.11	Professional		$142.10	$173.29	$340.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $319.55 / $447.37	Professional		$98.34	$319.55	$447.37
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 $164.79 / $261.83 / $495.29	Professional		$164.79	$261.83	$495.29