Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,651.39 / $5,045.00 / $6,915.00	Facility		$2,651.39	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,325.96 / $2,926.65 / $5,867.95	Professional		$2,325.96	$2,926.65	$5,867.95
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 $2,623.37 / $3,792.57 / $7,262.38	Professional		$2,623.37	$3,792.57	$7,262.38
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 $2,757.56 / $4,365.43 / $7,912.08	Professional		$2,757.56	$4,365.43	$7,912.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.14 / $3,682.20 / $6,009.79	Professional		$2,630.14	$3,682.20	$6,009.79
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 $2,713.48 / $3,536.22 / $6,867.66	Professional		$2,713.48	$3,536.22	$6,867.66