Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.45 / $3,460.00 / $6,915.00	Facility		$493.45	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.37 / $502.88 / $1,005.20	Professional		$346.37	$502.88	$1,005.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.56 / $646.66 / $1,117.05	Professional		$403.56	$646.66	$1,117.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.76 / $541.70 / $1,048.04	Professional		$361.76	$541.70	$1,048.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.99 / $549.29 / $1,299.17	Professional		$397.99	$549.29	$1,299.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,886.00 / $7,889.00	Facility		$1,200.00	$4,886.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.34 / $634.22 / $1,274.25	Professional		$403.34	$634.22	$1,274.25