Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,014.00 / $9,488.00	Facility		$1,791.00	$6,014.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.52 / $1,243.64 / $2,052.01	Professional		$1,057.52	$1,243.64	$2,052.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.61 / $1,653.23 / $2,921.06	Professional		$1,227.61	$1,653.23	$2,921.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,000.00 / $1,364.20	Facility		$500.00	$1,000.00	$1,364.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.82 / $1,896.50 / $3,116.78	Professional		$1,107.82	$1,896.50	$3,116.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,489.58 / $2,189.04 / $6,698.44	Professional		$1,489.58	$2,189.04	$6,698.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.50 / $1,434.68 / $2,727.04	Professional		$956.50	$1,434.68	$2,727.04