Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.67 / $4,590.00 / $6,915.00	Facility		$499.67	$4,590.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.50 / $720.83 / $1,605.26	Professional		$499.50	$720.83	$1,605.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.25 / $813.80 / $1,354.12	Professional		$487.25	$813.80	$1,354.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.79 / $1,076.79 / $1,076.79	Facility		$1,076.79	$1,076.79	$1,076.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.78 / $835.51 / $2,500.00	Facility		$170.78	$835.51	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.62 / $940.49 / $1,665.73	Professional		$629.62	$940.49	$1,665.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.79 / $875.91 / $1,695.44	Professional		$574.79	$875.91	$1,695.44
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 $615.66 / $982.51 / $1,543.38	Professional		$615.66	$982.51	$1,543.38