Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,370.32 / $9,549.93	Facility		$2,691.53	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $5,370.32	Professional		$1,737.80	$2,137.96	$5,370.32
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 $1,819.70 / $3,019.95 / $4,265.80	Professional		$1,819.70	$3,019.95	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,311.31 / $5,370.32	Professional		$2,089.30	$3,311.31	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $6,918.31	Professional		$2,041.74	$2,290.87	$6,918.31
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 $1,862.09 / $2,630.27 / $4,786.30	Professional		$1,862.09	$2,630.27	$4,786.30