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 $192.02 / $194.63 / $635.60	Professional		$192.02	$194.63	$635.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,491.93 / $4,469.68 / $9,523.08	Facility		$1,491.93	$4,469.68	$9,523.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $200.69 / $374.72	Professional		$139.50	$200.69	$374.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,820.97 / $1,820.97 / $1,820.97	Facility		$1,820.97	$1,820.97	$1,820.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.72 / $282.86 / $398.37	Professional		$235.72	$282.86	$398.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.26 / $303.27 / $535.50	Professional		$208.26	$303.27	$535.50