Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,299.48	Facility		$1,190.00	$1,190.00	$1,299.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,190.00 / $1,190.00	Professional		$1,162.00	$1,190.00	$1,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $680.00 / $836.12	Professional		$680.00	$680.00	$836.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.75 / $1,109.05 / $1,129.15	Professional		$787.75	$1,109.05	$1,129.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $1,273.30 / $1,963.50	Facility		$12.21	$1,273.30	$1,963.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,206.23 / $1,371.00 / $1,884.34	Professional		$1,206.23	$1,371.00	$1,884.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,358.00 / $1,400.00 / $1,485.26	Professional		$1,358.00	$1,400.00	$1,485.26