Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.74 / $5,045.00 / $6,915.00	Facility		$669.74	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.72 / $506.49 / $954.06	Professional		$396.72	$506.49	$954.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.79 / $2,260.19 / $3,862.88	Facility		$822.79	$2,260.19	$3,862.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.80 / $672.72 / $1,202.55	Professional		$448.80	$672.72	$1,202.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $661.01 / $661.01 / $661.01	Facility		$661.01	$661.01	$661.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.66 / $546.45 / $1,000.00	Facility		$451.66	$546.45	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.85 / $688.35 / $1,201.05	Professional		$443.85	$688.35	$1,201.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.07 / $703.04 / $1,187.75	Professional		$527.07	$703.04	$1,187.75
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.13 / $631.79 / $1,192.65	Professional		$414.13	$631.79	$1,192.65