Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.40 / $5,063.00 / $6,915.00	Facility		$2,194.40	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.99 / $2,257.44 / $5,504.19	Professional		$1,885.99	$2,257.44	$5,504.19
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 $1,915.12 / $3,006.74 / $5,464.38	Professional		$1,915.12	$3,006.74	$5,464.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,142.06 / $3,754.57 / $5,508.00	Professional		$2,142.06	$3,754.57	$5,508.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,275.09 / $2,654.27 / $7,113.90	Professional		$2,275.09	$2,654.27	$7,113.90
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 $2,037.33 / $2,913.38 / $5,180.01	Professional		$2,037.33	$2,913.38	$5,180.01