Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $1,079.00 / $1,079.00	Facility		$1,079.00	$1,079.00	$1,079.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,079.00 / $1,079.00	Professional		$1,040.00	$1,079.00	$1,079.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.51 / $1,423.93 / $2,970.90	Facility		$809.51	$1,423.93	$2,970.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.15 / $1,157.01 / $1,188.72	Professional		$1,126.15	$1,157.01	$1,188.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,108.23 / $1,395.52 / $2,791.04	Professional		$1,108.23	$1,395.52	$2,791.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,358.50	Professional		$1,235.00	$1,235.00	$1,358.50