Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.51 / $3,391.00 / $6,915.00	Facility		$173.51	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $126.76 / $334.77	Professional		$101.36	$126.76	$334.77
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 $112.00 / $161.85 / $320.27	Professional		$112.00	$161.85	$320.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.59 / $469.59 / $469.59	Facility		$469.59	$469.59	$469.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $188.44 / $342.81	Professional		$128.11	$188.44	$342.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $160.68 / $250.75	Professional		$114.77	$160.68	$250.75
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 $114.88 / $152.47 / $296.45	Professional		$114.88	$152.47	$296.45