Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.99 / $2,987.00 / $6,915.00	Facility		$139.99	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $140.28 / $274.42	Professional		$80.48	$140.28	$274.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $1,990.17 / $3,851.83	Facility		$734.14	$1,990.17	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $173.21 / $314.89	Professional		$100.34	$173.21	$314.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $399.08 / $399.08	Facility		$399.08	$399.08	$399.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $187.04 / $336.21	Professional		$104.10	$187.04	$336.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $151.50 / $275.08	Professional		$89.94	$151.50	$275.08
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $218.79 / $343.88	Professional		$131.88	$218.79	$343.88