Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.99 / $4,590.00 / $6,915.00	Facility		$97.99	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $123.82 / $239.13	Professional		$88.13	$123.82	$239.13
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 $102.14 / $157.28 / $276.92	Professional		$102.14	$157.28	$276.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $134.91 / $271.73	Professional		$88.14	$134.91	$271.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $157.62 / $309.06	Professional		$110.09	$157.62	$309.06
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 $126.52 / $186.33 / $328.18	Professional		$126.52	$186.33	$328.18