Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $4,117.00 / $6,915.00	Facility		$48.75	$4,117.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Professional		$29.50	$29.50	$29.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.01 / $8.01	Professional		$6.80	$8.01	$8.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $98.34 / $98.34	Professional		$98.34	$98.34	$98.34
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00