Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $9,549.93	Facility		$2,041.74	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,951.21	Professional		$1,258.93	$1,584.89	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $9,549.93	Facility		$1,513.56	$4,365.16	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $3,019.95	Professional		$1,258.93	$2,041.74	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,715.35	Professional		$1,513.56	$2,238.72	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,890.45	Professional		$1,380.38	$1,621.81	$3,890.45
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 $1,380.38 / $1,949.84 / $3,548.13	Professional		$1,380.38	$1,949.84	$3,548.13