Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.31 / $2,987.00 / $6,915.00	Facility		$200.31	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $255.58 / $444.22	Professional		$126.23	$255.58	$444.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $171.54 / $298.87	Professional		$122.53	$171.54	$298.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.56 / $254.56 / $254.56	Facility		$254.56	$254.56	$254.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $266.41 / $588.57	Professional		$144.34	$266.41	$588.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $259.17 / $359.03	Professional		$133.10	$259.17	$359.03
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.04 / $313.98 / $658.20	Professional		$222.04	$313.98	$658.20