Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.75 / $4,613.00 / $6,915.00	Facility		$747.75	$4,613.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.39 / $367.50 / $367.50	Professional		$316.39	$367.50	$367.50
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 $179.47 / $210.12 / $211.15	Professional		$179.47	$210.12	$211.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $1,127.00	Professional		$195.00	$195.00	$1,127.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $408.92 / $408.93	Professional		$98.34	$408.92	$408.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.55 / $332.55 / $332.55	Professional		$332.55	$332.55	$332.55