Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.20 / $2,987.00 / $6,915.00	Facility		$120.20	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $147.55 / $307.64	Professional		$94.51	$147.55	$307.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $172.93 / $300.74	Professional		$111.74	$172.93	$300.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.75 / $130.75 / $130.75	Facility		$130.75	$130.75	$130.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $172.90 / $332.22	Professional		$108.81	$172.90	$332.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $160.75 / $223.49	Professional		$118.13	$160.75	$223.49
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $167.14 / $288.56	Professional		$108.99	$167.14	$288.56