Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $7,413.10	Facility		$2,754.23	$4,897.79	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,778.28	Professional		$1,096.48	$1,445.44	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $10,000.00	Facility		$1,513.56	$4,365.16	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $5,623.41	Professional		$1,513.56	$2,398.83	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,818.38	Professional		$1,698.24	$2,041.74	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $7,943.28	Facility		$602.56	$3,235.94	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,548.13	Professional		$1,445.44	$2,041.74	$3,548.13