Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,460.00 / $6,915.00	Facility		$1,202.00	$3,460.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $130.19 / $140.94	Professional		$110.78	$130.19	$140.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.35 / $2,490.09 / $4,221.47	Facility		$794.35	$2,490.09	$4,221.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $136.63 / $196.29	Professional		$121.79	$136.63	$196.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $679.47 / $733.05 / $1,125.75	Facility		$679.47	$733.05	$1,125.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $399.08 / $399.08	Facility		$399.08	$399.08	$399.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.43 / $1,061.32 / $1,494.69	Professional		$884.43	$1,061.32	$1,494.69
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $222.75 / $388.80	Professional		$153.62	$222.75	$388.80