Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $891.25	Professional		$724.44	$741.31	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,905.46 / $1,905.46	Professional		$831.76	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,445.44	Facility		$758.58	$758.58	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,096.48	Professional		$616.60	$758.58	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $5,495.41	Facility		$1,995.26	$3,890.45	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,089.30	Professional		$1,995.26	$1,995.26	$2,089.30