Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,370.32 / $9,549.93	Facility		$3,311.31	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $5,495.41	Professional		$2,238.72	$2,754.23	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,888.44 / $12,022.64	Facility		$2,238.72	$5,888.44	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $5,248.07	Professional		$2,238.72	$3,548.13	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $6,918.31	Professional		$2,511.89	$3,890.45	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $6,165.95	Professional		$2,570.40	$2,884.03	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,235.94 / $8,128.31	Facility		$1,047.13	$3,235.94	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $7,244.36	Professional		$2,290.87	$3,311.31	$7,244.36