Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.05 / $3,963.00 / $6,915.00	Facility		$500.05	$3,963.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.94 / $500.05 / $1,040.85	Professional		$374.94	$500.05	$1,040.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.73 / $552.10 / $951.20	Professional		$357.73	$552.10	$951.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $703.68 / $703.68 / $703.68	Facility		$703.68	$703.68	$703.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.32 / $614.32 / $1,918.46	Facility		$614.32	$614.32	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.17 / $664.36 / $1,154.41	Professional		$418.17	$664.36	$1,154.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.12 / $609.10 / $1,127.20	Professional		$431.12	$609.10	$1,127.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,594.00 / $7,647.00	Facility		$1,323.00	$4,594.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.65 / $650.75 / $1,070.38	Professional		$428.65	$650.75	$1,070.38