Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.42 / $2,014.84 / $2,176.03	Facility		$1,007.42	$2,014.84	$2,176.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional		$1,007.42	$1,007.42	$1,007.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $2,209.02 / $3,559.56	Facility		$1,046.93	$2,209.02	$3,559.56
Anthem BCBS 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
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 $1,132.00 / $1,132.00 / $1,132.00	Professional		$1,132.00	$1,132.00	$1,132.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $820.65 / $1,185.20 / $1,881.33	Facility		$820.65	$1,185.20	$1,881.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.64 / $1,185.20 / $1,244.46	Professional		$1,149.64	$1,185.20	$1,244.46