Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.26 / $5,063.00 / $9,512.00	Facility		$875.26	$5,063.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.96 / $775.60 / $1,723.76	Professional		$653.96	$775.60	$1,723.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $4,429.60 / $8,545.91	Facility		$1,556.18	$4,429.60	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.19 / $892.56 / $1,610.63	Professional		$637.19	$892.56	$1,610.63
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 $659.08 / $1,045.68 / $1,730.59	Professional		$659.08	$1,045.68	$1,730.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.22 / $847.89 / $1,574.65	Professional		$652.22	$847.89	$1,574.65
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 $617.30 / $849.66 / $1,657.21	Professional		$617.30	$849.66	$1,657.21