Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.10 / $2,221.00 / $6,858.00	Facility		$198.10	$2,221.00	$6,858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $292.57 / $749.19	Professional		$114.73	$292.57	$749.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $159.00 / $299.97	Professional		$104.86	$159.00	$299.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.13 / $88.13 / $88.13	Facility		$88.13	$88.13	$88.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $283.43 / $764.79	Professional		$136.99	$283.43	$764.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $335.82 / $470.15	Professional		$115.05	$335.82	$470.15
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 $276.33 / $411.65 / $811.91	Professional		$276.33	$411.65	$811.91