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 / $1,904.00	Professional		$1,875.00	$1,875.00	$1,904.00
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 $1,525.94 / $1,907.43 / $1,907.43	Professional		$1,525.94	$1,907.43	$1,907.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $1,874.66 / $1,966.00	Professional		$455.00	$1,874.66	$1,966.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,460.81 / $2,460.81 / $2,460.82	Professional		$2,460.81	$2,460.81	$2,460.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,372.00 / $8,133.00	Facility		$1,269.00	$3,372.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.99 / $3,239.97 / $3,239.97	Professional		$997.99	$3,239.97	$3,239.97