Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,309.57 / $10,000.00	Facility		$2,511.89	$6,309.57	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,570.40	Professional		$1,230.27	$1,479.11	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $6,025.60	Facility		$1,230.27	$3,311.31	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,691.53	Professional		$1,096.48	$1,905.46	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $3,548.13	Professional		$1,412.54	$2,089.30	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $3,235.94	Professional		$1,230.27	$1,445.44	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,754.40 / $8,511.38	Facility		$1,513.56	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,311.31	Professional		$1,258.93	$1,778.28	$3,311.31