Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Professional		$1,047.13	$1,047.13	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $954.99 / $1,047.13	Professional		$173.78	$954.99	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,047.13	Facility		$1,000.00	$1,000.00	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,202.26	Professional		$1,047.13	$1,047.13	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $257.04	Professional		$128.82	$128.82	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $831.76	Facility		$316.23	$588.84	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00