Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,467.37	Facility		$3,019.95	$3,019.95	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,467.37	Professional		$2,884.03	$3,019.95	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,677.35 / $16,595.87	Facility		$2,884.03	$4,677.35	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $4,365.16	Professional		$3,019.95	$4,365.16	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,090.30	Professional		$2,511.89	$2,951.21	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $7,585.78	Facility		$2,754.23	$5,370.32	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,801.89	Professional		$3,019.95	$3,019.95	$3,801.89