Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.43 / $5,045.00 / $6,915.00	Facility		$668.43	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.09 / $472.70 / $1,067.28	Professional		$355.09	$472.70	$1,067.28
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 $438.05 / $622.54 / $1,141.66	Professional		$438.05	$622.54	$1,141.66
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 $438.87 / $733.71 / $1,166.74	Professional		$438.87	$733.71	$1,166.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.39 / $559.51 / $1,379.39	Professional		$430.39	$559.51	$1,379.39
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 $421.95 / $580.19 / $982.76	Professional		$421.95	$580.19	$982.76