Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.40 / $5,672.00 / $12,941.00	Facility		$1,755.40	$5,672.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.71 / $1,731.65 / $1,755.40	Professional		$1,335.71	$1,731.65	$1,755.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,499.55 / $8,935.40 / $29,416.54	Facility		$2,499.55	$8,935.40	$29,416.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,712.10 / $2,998.18 / $3,411.72	Professional		$1,712.10	$2,998.18	$3,411.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,656.91 / $2,153.98 / $3,148.13	Professional		$1,656.91	$2,153.98	$3,148.13
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 $2,067.89 / $2,980.81 / $4,868.67	Professional		$2,067.89	$2,980.81	$4,868.67