Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.52 / $3,391.00 / $6,915.00	Facility		$148.52	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $92.91 / $216.54	Professional		$72.34	$92.91	$216.54
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 $78.08 / $131.10 / $273.27	Professional		$78.08	$131.10	$273.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.19 / $200.19 / $200.19	Facility		$200.19	$200.19	$200.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $172.23 / $277.30	Professional		$106.24	$172.23	$277.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $109.90 / $245.37	Professional		$78.50	$109.90	$245.37
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 $87.98 / $136.37 / $214.76	Professional		$87.98	$136.37	$214.76