Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $5,063.00 / $6,915.00	Facility		$1,458.00	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.29 / $471.03 / $499.75	Professional		$363.29	$471.03	$499.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,720.36 / $7,874.27 / $21,592.00	Facility		$2,720.36	$7,874.27	$21,592.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.58 / $752.55 / $920.80	Professional		$574.58	$752.55	$920.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.27 / $721.85 / $1,055.01	Professional		$555.27	$721.85	$1,055.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,750.00 / $16,140.00 / $56,734.00	Facility		$6,750.00	$16,140.00	$56,734.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.04 / $748.40 / $1,194.60	Professional		$519.04	$748.40	$1,194.60