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 $182.38 / $190.04 / $196.37	Professional		$182.38	$190.04	$196.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.27 / $2,945.52 / $6,552.00	Facility		$1,066.27	$2,945.52	$6,552.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $276.95 / $296.73	Professional		$174.76	$276.95	$296.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $414.68 / $447.39 / $687.06	Facility		$414.68	$447.39	$687.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.50 / $1,052.50 / $1,052.50	Facility		$1,052.50	$1,052.50	$1,052.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.20 / $248.64 / $350.17	Professional		$207.20	$248.64	$350.17
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.99 / $282.08 / $428.88	Professional		$195.99	$282.08	$428.88