Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.05 / $5,045.00 / $6,915.00	Facility		$1,937.05	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.38 / $2,010.14 / $4,654.29	Professional		$1,669.38	$2,010.14	$4,654.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,694.26 / $2,649.55 / $4,715.51	Professional		$1,694.26	$2,649.55	$4,715.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,879.92 / $3,177.83 / $4,934.00	Professional		$1,879.92	$3,177.83	$4,934.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,013.23 / $2,348.77 / $6,015.44	Professional		$2,013.23	$2,348.77	$6,015.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,791.76 / $2,562.21 / $4,534.84	Professional		$1,791.76	$2,562.21	$4,534.84