Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $9,549.93	Facility		$2,089.30	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $3,715.35	Professional		$1,380.38	$1,659.59	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,918.31 / $15,135.61	Facility		$2,344.23	$6,918.31	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $3,311.31	Professional		$1,513.56	$2,398.83	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $3,981.07	Professional		$1,584.89	$2,630.27	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $4,897.79	Professional		$1,584.89	$1,819.70	$4,897.79
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 $1,479.11 / $2,041.74 / $3,715.35	Professional		$1,479.11	$2,041.74	$3,715.35