Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.15 / $4,841.00 / $6,915.00	Facility		$1,216.15	$4,841.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.39 / $948.95 / $2,145.01	Professional		$798.39	$948.95	$2,145.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $3,839.45 / $8,545.91	Facility		$1,376.26	$3,839.45	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.01 / $1,118.38 / $1,947.94	Professional		$795.01	$1,118.38	$1,947.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.69 / $1,252.34 / $2,112.28	Professional		$833.69	$1,252.34	$2,112.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.01 / $1,033.51 / $1,626.60	Professional		$795.01	$1,033.51	$1,626.60
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 $787.54 / $1,102.56 / $2,013.47	Professional		$787.54	$1,102.56	$2,013.47