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 $27.18 / $143.01 / $148.99	Professional		$27.18	$143.01	$148.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.25 / $2,339.00 / $4,221.47	Facility		$743.25	$2,339.00	$4,221.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $123.30 / $123.30	Professional		$28.56	$123.30	$123.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $51.29 / $63.12	Professional		$39.45	$51.29	$63.12
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $37.36 / $56.20	Professional		$27.24	$37.36	$56.20