Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.03 / $5,045.00 / $6,915.00	Facility		$1,225.03	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.57 / $1,266.41 / $2,716.22	Professional		$1,071.57	$1,266.41	$2,716.22
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 $1,073.78 / $1,659.37 / $3,063.35	Professional		$1,073.78	$1,659.37	$3,063.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.32 / $2,017.69 / $3,088.76	Professional		$1,177.32	$2,017.69	$3,088.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,278.10 / $1,491.13 / $3,369.00	Professional		$1,278.10	$1,491.13	$3,369.00
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 $1,129.81 / $1,615.63 / $2,859.48	Professional		$1,129.81	$1,615.63	$2,859.48