Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.48 / $3,391.00 / $6,915.00	Facility		$205.48	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $135.11 / $333.68	Professional		$105.85	$135.11	$333.68
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 $115.64 / $188.37 / $364.48	Professional		$115.64	$188.37	$364.48
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 $149.99 / $233.23 / $377.20	Professional		$149.99	$233.23	$377.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.02 / $158.22 / $413.87	Professional		$113.02	$158.22	$413.87
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 $128.34 / $183.53 / $302.14	Professional		$128.34	$183.53	$302.14