Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,265.80	Facility		$3,715.35	$3,715.35	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,715.35 / $4,466.84	Professional		$3,630.78	$3,715.35	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,760.83 / $20,417.38	Facility		$3,715.35	$6,760.83	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,265.80	Professional		$3,715.35	$4,073.80	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $3,801.89	Professional		$3,630.78	$3,801.89	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $4,168.69	Professional		$1,584.89	$3,801.89	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,128.31 / $11,481.54	Facility		$4,168.69	$8,128.31	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,786.30	Professional		$3,715.35	$3,715.35	$4,786.30