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 $54.27 / $233.36 / $2,872.98	Professional		$54.27	$233.36	$2,872.98
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 $56.91 / $1,625.73 / $4,247.43	Professional		$56.91	$1,625.73	$4,247.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $98.34 / $3,410.93	Professional		$54.95	$98.34	$3,410.93
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 $1,849.12 / $2,742.47 / $7,724.00	Professional		$1,849.12	$2,742.47	$7,724.00