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 $246.93 / $301.64 / $351.31	Professional		$246.93	$301.64	$351.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.23 / $535.61 / $701.67	Professional		$350.23	$535.61	$701.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.98 / $476.98 / $476.98	Facility		$476.98	$476.98	$476.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.95 / $724.67 / $976.04	Professional		$492.95	$724.67	$976.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.83 / $474.28 / $1,780.00	Professional		$364.83	$474.28	$1,780.00
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $568.74 / $850.05	Professional		$321.20	$568.74	$850.05