Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.00 / $4,195.00 / $6,915.00	Facility		$1,117.00	$4,195.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $27.58	Professional		$27.58	$27.58	$27.58
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
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