Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.57 / $5,045.00 / $6,915.00	Facility		$1,393.57	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.25 / $1,393.57 / $3,233.94	Professional		$1,194.25	$1,393.57	$3,233.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,283.79 / $1,919.51 / $3,673.43	Professional		$1,283.79	$1,919.51	$3,673.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,443.91 / $2,128.28 / $3,510.62	Professional		$1,443.91	$2,128.28	$3,510.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,331.62 / $1,694.78 / $4,179.72	Professional		$1,331.62	$1,694.78	$4,179.72
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 $1,304.08 / $1,881.53 / $3,005.14	Professional		$1,304.08	$1,881.53	$3,005.14