Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.47 / $4,592.00 / $6,915.00	Facility		$318.47	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $1,869.47 / $3,877.98	Professional		$180.72	$1,869.47	$3,877.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.95 / $1,500.30 / $4,403.08	Professional		$231.95	$1,500.30	$4,403.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $396.74 / $437.03 / $671.16	Facility		$396.74	$437.03	$671.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,065.79 / $3,065.79 / $3,065.79	Facility		$3,065.79	$3,065.79	$3,065.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.49 / $2,091.82 / $5,020.18	Professional		$256.49	$2,091.82	$5,020.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.62 / $2,325.16 / $4,867.63	Professional		$228.62	$2,325.16	$4,867.63
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 $2,390.53 / $3,259.06 / $5,593.18	Professional		$2,390.53	$3,259.06	$5,593.18