Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,466.84 / $7,413.10	Facility		$323.59	$4,466.84	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $407.38	Professional		$131.83	$213.80	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,089.30 / $3,548.13	Facility		$794.33	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $354.81	Professional		$154.88	$229.09	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $478.63	Professional		$165.96	$281.84	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $407.38	Professional		$120.23	$213.80	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $416.87	Professional		$138.04	$234.42	$416.87