Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $724.44	Professional		$446.68	$575.44	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $741.31 / $891.25	Facility		$154.88	$741.31	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $1,071.52	Professional		$77.62	$77.62	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,089.30	Facility		$1,071.52	$1,513.56	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $3,801.89	Professional		$549.54	$549.54	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $5,370.32	Professional		$616.60	$776.25	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $676.08	Facility		$616.60	$616.60	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $933.25	Professional		$288.40	$407.38	$933.25