Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.16 / $3,460.00 / $6,915.00	Facility		$449.16	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.89 / $449.16 / $827.18	Professional		$290.89	$449.16	$827.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,986.70 / $6,315.83	Facility		$989.09	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.64 / $532.08 / $909.51	Professional		$317.64	$532.08	$909.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.26 / $558.84 / $946.71	Professional		$331.26	$558.84	$946.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $491.16 / $599.69	Professional		$319.39	$491.16	$599.69
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $683.84 / $683.84 / $1,007.82	Professional	22	$683.84	$683.84	$1,007.82
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.78 / $578.26 / $1,084.76	Professional		$408.78	$578.26	$1,084.76