Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.29 / $5,045.00 / $6,915.00	Facility		$898.29	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.47 / $1,043.94 / $1,978.66	Professional		$855.47	$1,043.94	$1,978.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,431.64 / $10,456.09	Facility		$1,298.47	$4,431.64	$10,456.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.38 / $1,226.30 / $2,374.69	Professional		$868.38	$1,226.30	$2,374.69
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 $999.29 / $1,473.05 / $2,487.81	Professional		$999.29	$1,473.05	$2,487.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.59 / $1,122.67 / $2,454.19	Professional		$863.59	$1,122.67	$2,454.19
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 $916.93 / $1,259.50 / $2,308.11	Professional		$916.93	$1,259.50	$2,308.11