Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.13 / $5,823.00 / $17,133.00	Facility		$1,733.13	$5,823.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,935.00 / $4,429.00 / $18,483.00	Professional		$1,935.00	$4,429.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,604.00 / $9,589.00	Facility		$2,143.00	$4,604.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $159.13 / $168.23	Professional		$120.14	$159.13	$168.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $1,701.50	Facility		$63.90	$100.00	$1,701.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00