Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.88 / $5,045.00 / $6,915.00	Facility		$1,485.88	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.11 / $1,485.88 / $3,179.96	Professional		$1,284.11	$1,485.88	$3,179.96
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 $1,301.68 / $2,015.57 / $3,722.88	Professional		$1,301.68	$2,015.57	$3,722.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,360.71 / $2,454.46 / $3,797.80	Professional		$1,360.71	$2,454.46	$3,797.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.92 / $1,807.08 / $3,944.18	Professional		$1,548.92	$1,807.08	$3,944.18
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 $1,372.44 / $1,869.55 / $3,185.82	Professional		$1,372.44	$1,869.55	$3,185.82