Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.36 / $4,708.00 / $6,915.00	Facility		$862.36	$4,708.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.96 / $643.77 / $1,425.92	Professional		$493.96	$643.77	$1,425.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $858.14 / $1,536.43	Professional		$607.50	$858.14	$1,536.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,114.90 / $2,114.90 / $2,114.90	Facility		$2,114.90	$2,114.90	$2,114.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.67 / $1,003.06 / $1,582.98	Professional		$597.67	$1,003.06	$1,582.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.65 / $783.45 / $1,538.22	Professional		$602.65	$783.45	$1,538.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.70 / $763.35 / $1,435.63	Professional		$560.70	$763.35	$1,435.63