Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $4,592.00 / $6,915.00	Facility		$1,771.00	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.39 / $164.79 / $730.80	Professional		$125.39	$164.79	$730.80
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 $125.11 / $170.22 / $317.83	Professional		$125.11	$170.22	$317.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,844.34 / $5,844.34 / $5,844.34	Facility		$5,844.34	$5,844.34	$5,844.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $302.58 / $426.13	Professional		$252.15	$302.58	$426.13
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 $178.72 / $262.10 / $519.85	Professional		$178.72	$262.10	$519.85