Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.66 / $5,175.00 / $12,390.00	Facility		$620.66	$5,175.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.69 / $436.17 / $1,046.08	Professional		$380.69	$436.17	$1,046.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.08 / $10,701.70 / $35,809.08	Facility		$2,439.08	$10,701.70	$35,809.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.65 / $584.07 / $909.25	Professional		$384.65	$584.07	$909.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,217.00 / $26,620.00 / $41,098.00	Facility		$14,217.00	$26,620.00	$41,098.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $652.42 / $1,071.76	Professional		$455.00	$652.42	$1,071.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.18 / $508.87 / $2,809.00	Professional		$436.18	$508.87	$2,809.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,750.00 / $43,475.00 / $70,119.00	Facility		$6,750.00	$43,475.00	$70,119.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.78 / $593.33 / $922.26	Professional		$399.78	$593.33	$922.26