Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $9,549.93	Facility		$6,165.95	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,079.46	Professional		$6,165.95	$6,165.95	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,000.00 / $33,884.42	Facility		$6,165.95	$10,000.00	$33,884.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $6,165.95 / $6,165.95	Professional		$52.48	$6,165.95	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $6,165.95	Facility		$5,888.44	$5,888.44	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $6,760.83	Professional		$104.71	$104.71	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,589.25 / $17,782.79	Facility		$6,456.54	$12,589.25	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $8,128.31	Professional		$6,165.95	$6,165.95	$8,128.31