Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,420.00 / $10,454.00 / $22,788.00	Facility		$4,420.00	$10,454.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,969.00 / $11,769.00 / $24,401.00	Professional		$4,969.00	$11,769.00	$24,401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $5,944.00 / $11,994.00	Facility		$2,424.00	$5,944.00	$11,994.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $317.00 / $330.00	Professional		$298.00	$317.00	$330.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00