Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.78 / $2,987.00 / $6,915.00	Facility		$166.78	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $166.78 / $327.73	Professional		$94.10	$166.78	$327.73
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 $115.96 / $195.20 / $348.97	Professional		$115.96	$195.20	$348.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $172.76 / $364.71	Professional		$99.98	$172.76	$364.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $214.72 / $517.72	Professional		$123.55	$214.72	$517.72
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $241.37 / $468.05	Professional		$167.48	$241.37	$468.05