Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.97 / $5,045.00 / $6,915.00	Facility		$1,354.97	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.08 / $1,400.95 / $3,207.67	Professional		$1,172.08	$1,400.95	$3,207.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,187.73 / $1,835.99 / $3,528.64	Professional		$1,187.73	$1,835.99	$3,528.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.39 / $2,213.21 / $3,415.88	Professional		$1,288.39	$2,213.21	$3,415.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,413.47 / $1,649.05 / $3,389.99	Professional		$1,413.47	$1,649.05	$3,389.99
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 $1,250.58 / $1,788.33 / $2,901.59	Professional		$1,250.58	$1,788.33	$2,901.59