Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,063.00 / $7,421.00	Facility		$1,352.00	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.83 / $371.37 / $1,479.41	Professional		$310.83	$371.37	$1,479.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,242.86 / $3,550.06 / $7,089.10	Facility		$1,242.86	$3,550.06	$7,089.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.63 / $383.56 / $661.37	Professional		$365.63	$383.56	$661.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $772.02 / $928.94 / $1,263.63	Facility		$772.02	$928.94	$1,263.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.36 / $587.36 / $2,500.00	Facility		$587.36	$587.36	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.09 / $715.09 / $2,460.27	Professional		$715.09	$715.09	$2,460.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.76 / $731.59 / $984.83	Professional		$562.76	$731.59	$984.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.57 / $577.28 / $1,017.68	Professional		$343.57	$577.28	$1,017.68