Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.33 / $3,295.00 / $6,915.00	Facility		$298.33	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $316.17 / $637.08	Professional		$199.02	$316.17	$637.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,091.21 / $3,851.83	Facility		$759.49	$2,091.21	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.80 / $385.18 / $651.37	Professional		$238.80	$385.18	$651.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.90 / $344.90 / $344.90	Facility		$344.90	$344.90	$344.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.11 / $428.91 / $688.36	Professional		$258.11	$428.91	$688.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.63 / $330.99 / $623.98	Professional		$228.63	$330.99	$623.98
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.70 / $439.15 / $695.86	Professional		$304.70	$439.15	$695.86