Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.97 / $5,045.00 / $6,915.00	Facility		$619.97	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.97 / $832.09 / $1,950.63	Professional		$619.97	$832.09	$1,950.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.39 / $1,122.91 / $1,995.59	Professional		$759.39	$1,122.91	$1,995.59
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 $822.06 / $1,286.91 / $2,022.61	Professional		$822.06	$1,286.91	$2,022.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.66 / $978.46 / $2,069.50	Professional		$752.66	$978.46	$2,069.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.55 / $1,127.63 / $1,736.45	Professional		$788.55	$1,127.63	$1,736.45