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 $140.99 / $184.47 / $190.68	Professional		$140.99	$184.47	$190.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $3,801.18 / $7,114.08	Facility		$1,282.27	$3,801.18	$7,114.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.09 / $193.15 / $394.27	Professional		$177.09	$193.15	$394.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $181.15 / $253.61	Professional		$98.34	$181.15	$253.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $264.27 / $473.24	Professional		$172.80	$264.27	$473.24