Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,745.50 / $5,045.00 / $6,915.00	Facility		$1,745.50	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,504.51 / $1,811.09 / $4,430.06	Professional		$1,504.51	$1,811.09	$4,430.06
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 $1,525.43 / $2,394.92 / $4,513.93	Professional		$1,525.43	$2,394.92	$4,513.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,705.38 / $2,870.91 / $4,386.22	Professional		$1,705.38	$2,870.91	$4,386.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,814.99 / $2,117.48 / $5,725.63	Professional		$1,814.99	$2,117.48	$5,725.63
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 $1,614.02 / $2,308.05 / $4,824.85	Professional		$1,614.02	$2,308.05	$4,824.85