Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.41 / $3,826.00 / $6,915.00	Facility		$562.41	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.66 / $577.75 / $1,208.90	Professional		$438.66	$577.75	$1,208.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.55 / $661.32 / $1,143.08	Professional		$424.55	$661.32	$1,143.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $836.43 / $836.43 / $836.43	Facility		$836.43	$836.43	$836.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.77 / $737.77 / $4,013.65	Facility		$737.77	$737.77	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.61 / $786.27 / $1,340.52	Professional		$493.61	$786.27	$1,340.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.86 / $731.72 / $1,562.45	Professional		$518.86	$731.72	$1,562.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.27 / $771.43 / $1,235.36	Professional		$493.27	$771.43	$1,235.36