Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,357.95 / $2,686.05	Facility		$1,243.54	$1,357.95	$2,686.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.25 / $2,701.33 / $4,352.85	Facility		$1,280.25	$2,701.33	$4,352.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,170.39 / $1,170.39	Professional		$1,170.39	$1,170.39	$1,170.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,464.16 / $1,464.16 / $1,464.16	Professional		$1,464.16	$1,464.16	$1,464.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,462.99 / $1,462.99 / $1,893.91	Facility		$1,462.99	$1,462.99	$1,893.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.47 / $1,219.16 / $1,464.16	Professional		$1,199.47	$1,219.16	$1,464.16