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 $76.05 / $85.61 / $103.18	Professional		$76.05	$85.61	$103.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,304.54 / $4,221.47	Facility		$776.14	$2,304.54	$4,221.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $101.95 / $151.88	Professional		$54.85	$101.95	$151.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.58 / $102.58 / $640.00	Facility		$102.58	$102.58	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $427.20 / $524.66	Professional		$144.07	$427.20	$524.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $127.05 / $699.56	Professional		$97.73	$127.05	$699.56
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $134.53 / $218.13	Professional		$80.06	$134.53	$218.13