Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,606.93 / $6,606.93	Facility		$776.25	$6,606.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,128.61 / $5,248.07	Professional		$4,897.79	$5,128.61	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,495.41 / $28,183.83	Facility		$2,344.23	$5,495.41	$28,183.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $5,495.41 / $5,888.44	Professional		$1.12	$5,495.41	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $10,471.29 / $19,498.45	Professional		$5,248.07	$10,471.29	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $5,754.40	Facility		$2,089.30	$4,073.80	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,456.54	Professional		$5,128.61	$5,128.61	$6,456.54