Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $2,264.00 / $2,969.00	Facility		$1,827.00	$2,264.00	$2,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,221.00 / $2,641.16 / $3,498.77	Professional		$2,221.00	$2,641.16	$3,498.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $58.02 / $262.58	Facility		$47.96	$58.02	$262.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.31 / $817.28 / $968.02	Facility		$734.31	$817.28	$968.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $761.22 / $851.90 / $6,162.00	Facility		$761.22	$851.90	$6,162.00