Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,615.92 / $5,063.00 / $7,169.98	Facility		$2,615.92	$5,063.00	$7,169.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,242.66 / $2,615.92 / $6,880.87	Professional		$2,242.66	$2,615.92	$6,880.87
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 $2,277.90 / $3,566.35 / $6,299.29	Professional		$2,277.90	$3,566.35	$6,299.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,462.88 / $4,504.91 / $6,774.81	Professional		$2,462.88	$4,504.91	$6,774.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,704.27 / $3,154.98 / $8,893.14	Professional		$2,704.27	$3,154.98	$8,893.14
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 $2,430.34 / $3,296.21 / $6,151.04	Professional		$2,430.34	$3,296.21	$6,151.04