Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,398.83	Facility		$2,089.30	$2,089.30	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,511.89	Professional		$2,041.74	$2,089.30	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,290.87 / $11,481.54	Facility		$831.76	$2,290.87	$11,481.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,398.83	Professional		$2,089.30	$2,290.87	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $2,344.23	Professional		$1,230.27	$2,137.96	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,513.56 / $2,137.96	Facility		$776.25	$1,513.56	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,691.53	Professional		$2,089.30	$2,089.30	$2,691.53