Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.82 / $1,496.08 / $3,497.45	Professional		$1,247.82	$1,496.08	$3,497.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $3,859.05 / $8,545.91	Facility		$1,380.70	$3,859.05	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.66 / $1,733.00 / $3,052.04	Professional		$1,253.66	$1,733.00	$3,052.04
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 $1,261.06 / $1,983.27 / $3,309.53	Professional		$1,261.06	$1,983.27	$3,309.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.66 / $1,629.76 / $2,739.21	Professional		$1,253.66	$1,629.76	$2,739.21
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 $1,283.69 / $1,692.14 / $3,030.97	Professional		$1,283.69	$1,692.14	$3,030.97