Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,192.69 / $5,045.00 / $6,915.00	Facility		$2,192.69	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.72 / $2,416.53 / $4,826.93	Professional		$1,918.72	$2,416.53	$4,826.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,152.31 / $3,081.32 / $6,033.45	Professional		$2,152.31	$3,081.32	$6,033.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,266.08 / $3,652.56 / $6,540.30	Professional		$2,266.08	$3,652.56	$6,540.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,177.71 / $3,048.79 / $5,378.19	Professional		$2,177.71	$3,048.79	$5,378.19
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,215.71 / $2,961.87 / $5,664.47	Professional		$2,215.71	$2,961.87	$5,664.47