Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.40 / $4,590.00 / $6,915.00	Facility		$69.40	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $92.55 / $198.25	Professional		$62.46	$92.55	$198.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $116.70 / $205.11	Professional		$73.14	$116.70	$205.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $99.30 / $202.67	Professional		$59.28	$99.30	$202.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $118.17 / $256.24	Professional		$78.44	$118.17	$256.24
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 $96.40 / $132.72 / $253.74	Professional		$96.40	$132.72	$253.74