Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $3,889.00 / $9,872.00	Facility		$1,144.00	$3,889.00	$9,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.00 / $5,860.00 / $9,872.00	Professional		$1,165.00	$5,860.00	$9,872.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,285.00 / $4,974.00 / $26,120.00	Facility		$2,285.00	$4,974.00	$26,120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,652.00 / $9,652.00 / $9,652.00	Professional		$9,652.00	$9,652.00	$9,652.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $329.00	Professional		$155.00	$155.00	$329.00
United Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $1,491.00 / $2,720.00	Facility		$730.00	$1,491.00	$2,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.45 / $313.45 / $313.45	Professional		$313.45	$313.45	$313.45