Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $660.69 / $660.69	Facility		$524.81	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $707.95	Professional		$602.56	$660.69	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $2,089.30	Facility		$794.33	$1,584.89	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $794.33	Professional		$602.56	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $1,258.93 / $1,778.28	Facility		$57.54	$1,258.93	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $524.81	Professional		$416.87	$416.87	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,570.88	Professional		$2,818.38	$2,818.38	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $741.31 / $741.31	Facility		$30.90	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $1,230.27	Professional		$18.62	$18.62	$1,230.27