Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $3,391.00 / $6,915.00	Facility		$1,061.00	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $150.51 / $892.50	Professional		$118.83	$150.51	$892.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $214.11 / $380.25	Professional		$156.43	$214.11	$380.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.12 / $590.12 / $590.12	Facility		$590.12	$590.12	$590.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $248.24 / $628.00	Professional		$159.44	$248.24	$628.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $220.18 / $551.77	Professional		$157.27	$220.18	$551.77
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $2,300.00 / $3,593.00	Facility		$796.00	$2,300.00	$3,593.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $184.66 / $383.27	Professional		$134.80	$184.66	$383.27