Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.70 / $3,295.00 / $6,915.00	Facility		$633.70	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $633.70 / $1,164.03	Professional		$347.30	$633.70	$1,164.03
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 $352.36 / $543.76 / $958.21	Professional		$352.36	$543.76	$958.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $994.12 / $994.12 / $994.12	Facility		$994.12	$994.12	$994.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $609.29 / $4,013.65	Facility		$609.29	$609.29	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.45 / $802.66 / $1,550.73	Professional		$439.45	$802.66	$1,550.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.29 / $722.87 / $1,501.87	Professional		$428.29	$722.87	$1,501.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.01 / $944.66 / $1,508.28	Professional		$581.01	$944.66	$1,508.28