Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,786.71 / $5,063.00 / $7,421.00	Facility		$1,786.71	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $1,786.71	Professional		$517.50	$517.50	$1,786.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,859.05 / $8,545.91	Facility		$1,195.63	$3,859.05	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.00 / $1,076.24 / $1,076.24	Professional		$1,009.00	$1,076.24	$1,076.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $616.25 / $1,759.17	Professional		$250.00	$616.25	$1,759.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,309.23 / $2,309.23 / $2,309.23	Professional		$2,309.23	$2,309.23	$2,309.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86