Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.13 / $2,987.00 / $6,915.00	Facility		$400.13	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $385.59 / $790.94	Professional		$269.33	$385.59	$790.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $398.19 / $672.23	Professional		$259.20	$398.19	$672.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $545.21 / $545.21 / $545.21	Facility		$545.21	$545.21	$545.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.77 / $441.75 / $2,500.00	Facility		$337.77	$441.75	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $501.15 / $878.02	Professional		$308.39	$501.15	$878.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.04 / $463.48 / $907.11	Professional		$311.04	$463.48	$907.11
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 $323.60 / $504.37 / $830.20	Professional		$323.60	$504.37	$830.20