Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $7,585.78	Facility		$4,897.79	$4,897.79	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,623.41	Professional		$4,897.79	$4,897.79	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,943.28 / $26,915.35	Facility		$4,897.79	$7,943.28	$26,915.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,897.79	Facility		$4,677.35	$4,677.35	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $5,370.32	Professional		$1,258.93	$2,290.87	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $2,884.03	Facility		$1,047.13	$2,041.74	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $4,897.79	Professional		$1,584.89	$4,897.79	$4,897.79