Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.84 / $5,045.00 / $6,915.00	Facility		$774.84	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.84 / $1,042.53 / $2,426.67	Professional		$774.84	$1,042.53	$2,426.67
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 $955.76 / $1,402.76 / $2,517.92	Professional		$955.76	$1,402.76	$2,517.92
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 $1,005.90 / $1,612.25 / $2,639.22	Professional		$1,005.90	$1,612.25	$2,639.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.82 / $1,225.67 / $4,453.43	Professional		$942.82	$1,225.67	$4,453.43
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.57 / $1,306.83 / $2,245.98	Professional		$958.57	$1,306.83	$2,245.98