Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,165.95 / $12,882.50	Facility		$3,801.89	$6,165.95	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,467.37 / $10,232.93	Professional		$1,445.44	$3,467.37	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,365.16 / $8,709.64	Facility		$1,737.80	$4,365.16	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $10,000.00	Facility		$4,168.69	$7,244.36	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Professional		$13,803.84	$13,803.84	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,918.31 / $12,022.64	Facility		$1,737.80	$6,918.31	$12,022.64