Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.88 / $5,672.00 / $12,941.00	Facility		$1,203.88	$5,672.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.27 / $1,190.82 / $1,454.54	Professional		$1,041.27	$1,190.82	$1,454.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $10,174.93 / $34,380.73	Facility		$2,361.69	$10,174.93	$34,380.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.48 / $1,079.67 / $2,524.42	Professional		$1,047.48	$1,079.67	$2,524.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.82 / $1,809.74 / $2,917.37	Professional		$1,249.82	$1,809.74	$2,917.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.68 / $1,312.94 / $1,750.55	Professional		$1,175.68	$1,312.94	$1,750.55
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 $1,136.77 / $1,627.86 / $2,629.40	Professional		$1,136.77	$1,627.86	$2,629.40