Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,238.72	Facility		$1,819.70	$1,819.70	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $58.88	Facility		$51.29	$57.54	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $758.58 / $1,230.27	Facility		$100.00	$758.58	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,380.38 / $3,890.45	Facility		$741.31	$1,380.38	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,698.24	Professional		$398.11	$398.11	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $2,884.03	Facility		$776.25	$1,412.54	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $1,000.00	Facility		$630.96	$660.69	$1,000.00