Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.78 / $5,045.00 / $6,915.00	Facility		$995.78	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $749.64 / $1,353.77	Professional		$645.32	$749.64	$1,353.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.49 / $1,054.61 / $1,907.59	Professional		$688.49	$1,054.61	$1,907.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,378.22 / $1,510.02 / $1,960.28	Facility		$1,378.22	$1,510.02	$1,960.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.90 / $823.10 / $1,563.72	Professional		$623.90	$823.10	$1,563.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.12 / $972.09 / $1,749.69	Professional		$870.12	$972.09	$1,749.69
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 $680.22 / $954.33 / $1,811.67	Professional		$680.22	$954.33	$1,811.67