Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.92 / $2,987.00 / $6,915.00	Facility		$186.92	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $302.95 / $501.10	Professional		$115.25	$302.95	$501.10
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 $129.51 / $280.06 / $595.46	Professional		$129.51	$280.06	$595.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.64 / $263.64 / $263.64	Facility		$263.64	$263.64	$263.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $281.94 / $643.98	Professional		$141.37	$281.94	$643.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $298.24 / $555.58	Professional		$111.30	$298.24	$555.58
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 $278.64 / $419.59 / $694.76	Professional		$278.64	$419.59	$694.76