Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.20 / $4,342.00 / $6,915.00	Facility		$410.20	$4,342.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $410.20 / $885.71	Professional		$276.31	$410.20	$885.71
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 $346.25 / $539.53 / $918.98	Professional		$346.25	$539.53	$918.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.34 / $662.28 / $1,017.08	Facility		$619.34	$662.28	$1,017.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $1,942.85 / $1,942.85	Facility		$1,942.85	$1,942.85	$1,942.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $631.53 / $1,015.24	Professional		$373.27	$631.53	$1,015.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.88 / $511.81 / $686.59	Professional		$356.88	$511.81	$686.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.30 / $633.30 / $1,017.41	Professional		$444.30	$633.30	$1,017.41