Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $2,987.00 / $6,915.00	Facility		$151.57	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $168.99 / $250.90	Professional		$88.47	$168.99	$250.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $179.01 / $322.07	Professional		$107.80	$179.01	$322.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $130.35 / $130.35	Facility		$130.35	$130.35	$130.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $185.74 / $352.17	Professional		$114.14	$185.74	$352.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $178.83 / $276.85	Professional		$97.58	$178.83	$276.85
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 $129.43 / $199.04 / $372.33	Professional		$129.43	$199.04	$372.33