Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $9,549.93	Facility		$2,884.03	$5,370.32	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $4,265.80	Professional		$1,905.46	$2,398.83	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,309.57 / $12,302.69	Facility		$2,238.72	$6,309.57	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $4,677.35	Professional		$1,995.26	$3,311.31	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $6,165.95	Professional		$1,995.26	$3,630.78	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $5,370.32	Professional		$2,187.76	$2,818.38	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $7,943.28	Facility		$602.56	$3,235.94	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $5,623.41	Professional		$1,995.26	$2,754.23	$5,623.41