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 $231.20 / $291.11 / $552.65	Professional		$231.20	$291.11	$552.65
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 $154.94 / $376.28 / $548.01	Professional		$154.94	$376.28	$548.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $259.64 / $363.50	Professional		$98.34	$259.64	$363.50
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.16 / $315.14 / $568.77	Professional		$189.16	$315.14	$568.77