Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $3,391.00 / $6,915.00	Facility		$100.03	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $82.86 / $107.48	Professional		$63.13	$82.86	$107.48
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 $65.58 / $98.09 / $145.97	Professional		$65.58	$98.09	$145.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $95.56 / $116.84	Professional		$63.64	$95.56	$116.84
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 $98.42 / $143.53 / $249.71	Professional		$98.42	$143.53	$249.71