Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.25 / $5,045.00 / $6,915.00	Facility		$1,620.25	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.80 / $1,886.23 / $3,314.32	Professional		$1,510.80	$1,886.23	$3,314.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $15,411.81	Facility		$1,538.99	$5,842.74	$15,411.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,538.08 / $2,166.02 / $4,138.39	Professional		$1,538.08	$2,166.02	$4,138.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.65 / $2,425.11 / $4,123.85	Professional		$1,561.65	$2,425.11	$4,123.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,564.45 / $2,033.79 / $3,174.41	Professional		$1,564.45	$2,033.79	$3,174.41
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.34 / $2,154.88 / $3,660.39	Professional		$1,537.34	$2,154.88	$3,660.39