Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.61 / $4,592.00 / $6,915.00	Facility		$112.61	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $163.32 / $315.26	Professional		$112.61	$163.32	$315.26
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 $114.88 / $184.75 / $330.76	Professional		$114.88	$184.75	$330.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $196.22 / $352.29	Professional		$128.07	$196.22	$352.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $171.96 / $214.95	Professional		$128.46	$171.96	$214.95
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $184.18 / $333.69	Professional		$133.34	$184.18	$333.69