Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $9,549.93	Facility		$2,238.72	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,801.89	Professional		$1,479.11	$1,819.70	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,888.44 / $12,022.64	Facility		$2,238.72	$5,888.44	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,630.78	Professional		$1,548.82	$2,570.40	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $4,365.16	Professional		$1,737.80	$2,951.21	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $5,495.41	Professional		$1,737.80	$1,949.84	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,235.94 / $8,128.31	Facility		$1,047.13	$3,235.94	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $4,073.80	Professional		$1,584.89	$2,238.72	$4,073.80