Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,905.46 / $1,905.46	Facility		$758.58	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $933.25	Professional		$741.31	$758.58	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $4,365.16	Facility		$457.09	$851.14	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $851.14 / $912.01	Professional		$53.70	$851.14	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,621.81	Professional		$812.83	$891.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $1,380.38	Facility		$501.19	$977.24	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,000.00	Professional		$794.33	$794.33	$1,000.00