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 $63.00 / $74.26 / $87.28	Professional		$63.00	$74.26	$87.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $77.76 / $246.80	Professional		$77.76	$77.76	$246.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $84.96 / $84.96	Facility		$84.96	$84.96	$84.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $119.36 / $353.93	Professional		$119.36	$119.36	$353.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $105.22 / $141.65	Professional		$80.94	$105.22	$141.65
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $117.00 / $194.53	Professional		$69.63	$117.00	$194.53