Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.52 / $3,360.00 / $6,915.00	Facility		$389.52	$3,360.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $372.81 / $721.17	Professional		$232.91	$372.81	$721.17
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 $240.16 / $357.80 / $645.55	Professional		$240.16	$357.80	$645.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $423.03 / $512.04 / $764.30	Facility		$423.03	$512.04	$764.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $416.47 / $2,500.00	Facility		$376.48	$416.47	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.08 / $461.08 / $871.95	Professional		$274.08	$461.08	$871.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.55 / $476.23 / $1,216.23	Professional		$279.55	$476.23	$1,216.23
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.50 / $492.63 / $849.04	Professional		$334.50	$492.63	$849.04