Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.62 / $4,592.00 / $6,915.00	Facility		$494.62	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.71 / $532.16 / $889.61	Professional		$438.71	$532.16	$889.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $688.19 / $1,239.71	Professional		$481.19	$688.19	$1,239.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $863.76 / $955.73 / $1,240.71	Facility		$863.76	$955.73	$1,240.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.45 / $573.14 / $1,101.16	Professional		$414.45	$573.14	$1,101.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.73 / $617.77 / $1,032.77	Professional		$550.73	$617.77	$1,032.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.23 / $693.07 / $1,286.26	Professional		$497.23	$693.07	$1,286.26