Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.66 / $5,045.00 / $6,915.00	Facility		$1,299.66	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.25 / $1,348.47 / $3,073.52	Professional		$1,120.25	$1,348.47	$3,073.52
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 $1,157.25 / $1,780.03 / $3,456.78	Professional		$1,157.25	$1,780.03	$3,456.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $2,218.17 / $3,256.75	Professional		$1,300.00	$2,218.17	$3,256.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.62 / $1,572.23 / $3,832.78	Professional		$1,347.62	$1,572.23	$3,832.78
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 $1,201.58 / $1,718.27 / $3,041.15	Professional		$1,201.58	$1,718.27	$3,041.15