Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.68 / $5,045.00 / $6,915.00	Facility		$1,215.68	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.68 / $1,625.92 / $3,975.61	Professional		$1,215.68	$1,625.92	$3,975.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $14,965.63	Facility		$1,538.99	$5,842.74	$14,965.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,517.87 / $2,251.35 / $3,988.81	Professional		$1,517.87	$2,251.35	$3,988.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.95 / $2,552.44 / $4,081.62	Professional		$1,536.95	$2,552.44	$4,081.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.53 / $1,951.99 / $4,284.49	Professional		$1,501.53	$1,951.99	$4,284.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.18 / $2,008.33 / $3,576.94	Professional		$1,537.18	$2,008.33	$3,576.94