Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $3,214.00 / $6,915.00	Facility		$52.47	$3,214.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $93.94 / $189.78	Professional		$28.22	$93.94	$189.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $90.29 / $217.40	Professional		$38.96	$90.29	$217.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $108.68	Facility		$108.68	$108.68	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $92.24 / $250.17	Professional		$40.76	$92.24	$250.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $107.00 / $200.82	Professional		$33.97	$107.00	$200.82
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 $98.96 / $157.22 / $246.95	Professional		$98.96	$157.22	$246.95