Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,592.00 / $16,936.00 / $39,542.50	Facility		$4,592.00	$16,936.00	$39,542.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $673.30 / $7,388.47	Professional		$673.30	$673.30	$7,388.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.84 / $9,046.79 / $25,198.09	Facility		$2,258.84	$9,046.79	$25,198.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.11 / $8,551.00 / $8,551.00	Professional		$855.11	$8,551.00	$8,551.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,105.00 / $11,616.00 / $25,173.00	Facility		$8,105.00	$11,616.00	$25,173.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $362.25 / $362.25	Professional		$362.25	$362.25	$362.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16,272.00 / $16,272.00 / $16,272.00	Professional		$16,272.00	$16,272.00	$16,272.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,908.00 / $14,950.00 / $26,000.00	Facility		$2,908.00	$14,950.00	$26,000.00