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 $247.97 / $258.42 / $269.31	Professional		$247.97	$258.42	$269.31
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 $188.80 / $270.20 / $504.53	Professional		$188.80	$270.20	$504.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.55 / $359.46 / $506.24	Professional		$299.55	$359.46	$506.24
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.54 / $408.15 / $627.91	Professional		$284.54	$408.15	$627.91