Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,105.00	Facility		$1,105.00	$1,105.00	$1,105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $1,105.00 / $1,105.00	Professional		$1,079.00	$1,105.00	$1,105.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.51 / $1,708.07 / $2,752.33	Facility		$809.51	$1,708.07	$2,752.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.01 / $1,157.01 / $1,422.65	Professional		$1,157.01	$1,157.01	$1,422.65
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 $1,049.75 / $1,525.93 / $1,795.22	Professional		$1,049.75	$1,525.93	$1,795.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $1,235.00 / $1,823.25	Facility		$19.59	$1,235.00	$1,823.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,808.60 / $2,074.00 / $2,825.30	Professional		$1,808.60	$2,074.00	$2,825.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,300.00	Professional		$1,235.00	$1,235.00	$1,300.00