Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.72 / $983.72 / $3,508.33	Facility		$983.72	$983.72	$3,508.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.16 / $983.72 / $983.72	Professional		$948.16	$983.72	$983.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,841.55 / $3,842.23	Facility		$1,046.93	$1,841.55	$3,842.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,125.94	Professional		$1,046.93	$1,046.93	$1,125.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,818.00 / $2,816.00	Professional		$1,046.93	$1,818.00	$2,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,209.02	Professional		$1,185.20	$1,185.20	$1,209.02