Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,454.71	Facility		$2,137.96	$2,137.96	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,511.89	Professional		$2,089.30	$2,137.96	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $11,748.98	Facility		$2,137.96	$2,344.23	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $3,235.94	Professional		$2,137.96	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $5,128.61 / $8,511.38	Professional		$1,778.28	$5,128.61	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $6,025.60	Facility		$2,187.76	$4,265.80	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,388.44	Professional		$2,137.96	$2,290.87	$3,388.44