Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $4,829.00 / $6,915.00	Facility		$2,225.00	$4,829.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,524.54 / $1,765.11 / $2,879.65	Professional		$1,524.54	$1,765.11	$2,879.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,579.98 / $2,344.59 / $4,246.09	Professional		$1,579.98	$2,344.59	$4,246.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.81 / $1,851.79 / $3,443.78	Professional		$1,349.81	$1,851.79	$3,443.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,932.02 / $2,172.34 / $3,571.73	Professional		$1,932.02	$2,172.34	$3,571.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,580.12 / $2,234.64 / $4,167.18	Professional		$1,580.12	$2,234.64	$4,167.18