Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.79 / $1,342.79 / $1,342.79	Facility		$1,342.79	$1,342.79	$1,342.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.26 / $1,342.79 / $1,342.79	Professional		$1,294.26	$1,342.79	$1,342.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.22 / $598.22 / $598.22	Facility		$598.22	$598.22	$598.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.70 / $1,429.07 / $1,536.93	Professional		$1,214.70	$1,429.07	$1,536.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.35 / $836.35 / $1,429.07	Professional		$836.35	$836.35	$1,429.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,487.42	Professional		$1,388.63	$1,388.63	$1,487.42