Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.68 / $4,592.00 / $6,915.00	Facility		$756.68	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.97 / $810.80 / $1,438.34	Professional		$628.97	$810.80	$1,438.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.93 / $1,027.50 / $1,911.66	Professional		$733.93	$1,027.50	$1,911.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.14 / $921.90 / $1,677.47	Professional		$630.14	$921.90	$1,677.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.29 / $929.38 / $1,343.61	Professional		$784.29	$929.38	$1,343.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,136.00 / $5,352.00	Facility		$1,269.00	$3,136.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.91 / $1,153.59 / $1,998.65	Professional		$789.91	$1,153.59	$1,998.65