Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $4,590.00 / $6,915.00	Facility		$53.26	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $76.81 / $137.96	Professional		$40.67	$76.81	$137.96
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 $55.78 / $98.38 / $177.97	Professional		$55.78	$98.38	$177.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.21 / $57.21 / $57.21	Facility		$57.21	$57.21	$57.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $108.02 / $193.59	Professional		$60.11	$108.02	$193.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $88.83 / $160.53	Professional		$51.93	$88.83	$160.53
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $115.35 / $175.15	Professional		$81.45	$115.35	$175.15