Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $5,045.00 / $6,915.00	Facility		$1,890.00	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.13 / $1,748.14 / $3,072.61	Professional		$1,379.13	$1,748.14	$3,072.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,839.45 / $8,545.91	Facility		$1,195.63	$3,839.45	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.71 / $1,942.79 / $3,650.75	Professional		$1,387.71	$1,942.79	$3,650.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $3,185.25 / $3,185.25	Facility		$3,185.25	$3,185.25	$3,185.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.51 / $2,373.21 / $4,030.67	Professional		$1,618.51	$2,373.21	$4,030.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,378.06 / $1,791.48 / $3,811.05	Professional		$1,378.06	$1,791.48	$3,811.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,475.14 / $2,109.44 / $3,381.07	Professional		$1,475.14	$2,109.44	$3,381.07