Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $5,063.00 / $7,631.00	Facility		$189.01	$5,063.00	$7,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $181.39 / $189.01	Professional		$146.04	$181.39	$189.01
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 $149.08 / $194.92 / $313.64	Professional		$149.08	$194.92	$313.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $244.96 / $342.94	Professional		$98.34	$244.96	$342.94
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 $285.95 / $444.82 / $685.59	Professional		$285.95	$444.82	$685.59