Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.33 / $1,388.12 / $1,912.21	Facility		$690.33	$1,388.12	$1,912.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.33 / $840.20 / $1,379.07	Professional		$690.33	$840.20	$1,379.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.82 / $1,178.88 / $2,320.46	Facility		$164.82	$1,178.88	$2,320.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $1,000.00 / $2,186.80	Professional		$630.00	$1,000.00	$2,186.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.90 / $1,916.67 / $2,412.34	Facility		$523.90	$1,916.67	$2,412.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.29 / $1,302.19 / $1,627.74	Professional		$1,074.29	$1,302.19	$1,627.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,386.45 / $1,489.52 / $4,588.00	Professional		$1,386.45	$1,489.52	$4,588.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.34 / $617.92 / $1,892.29	Professional		$414.34	$617.92	$1,892.29