Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,370.32 / $9,549.93	Facility		$2,344.23	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $3,019.95	Professional		$1,230.27	$1,584.89	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $13,182.57	Facility		$1,513.56	$4,365.16	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,691.53	Professional		$1,318.26	$1,949.84	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $3,388.44	Professional		$1,230.27	$2,137.96	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $3,890.45	Professional		$1,230.27	$1,584.89	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,311.31 / $11,481.54	Facility		$602.56	$3,311.31	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,162.28	Professional		$1,348.96	$1,819.70	$3,162.28