Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $5,063.00 / $7,421.00	Facility		$1,875.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,341.02	Professional		$1,875.00	$1,875.00	$2,341.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $4,800.00 / $9,365.64	Facility		$1,651.82	$4,800.00	$9,365.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,307.46 / $2,317.63 / $2,459.05	Professional		$2,307.46	$2,317.63	$2,459.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $2,259.73 / $2,304.92	Professional		$455.00	$2,259.73	$2,304.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,025.63 / $3,025.63 / $3,025.64	Professional		$3,025.63	$3,025.63	$3,025.64
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 $1,140.40 / $1,140.40 / $1,140.40	Professional		$1,140.40	$1,140.40	$1,140.40