Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,515.33 / $5,045.00 / $6,915.00	Facility		$2,515.33	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,174.30 / $2,515.33 / $4,667.85	Professional		$2,174.30	$2,515.33	$4,667.85
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 $1,821.79 / $2,928.76 / $5,307.01	Professional		$1,821.79	$2,928.76	$5,307.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,636.13 / $3,415.49 / $5,790.98	Professional		$1,636.13	$3,415.49	$5,790.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,402.50 / $3,057.73 / $3,864.03	Professional		$2,402.50	$3,057.73	$3,864.03
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 $1,721.01 / $2,638.37 / $5,360.40	Professional		$1,721.01	$2,638.37	$5,360.40