Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,704.00 / $10,351.00 / $22,788.00	Facility		$4,704.00	$10,351.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,078.00 / $9,639.00 / $20,673.00	Professional		$5,078.00	$9,639.00	$20,673.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $7,362.00 / $15,399.00	Facility		$3,242.00	$7,362.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $1,507.00 / $2,813.00	Professional		$684.00	$1,507.00	$2,813.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $1,984.18	Facility		$63.90	$100.00	$1,984.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00