Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.93 / $3,391.00 / $6,915.00	Facility		$902.93	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.17 / $831.06 / $1,590.82	Professional		$646.17	$831.06	$1,590.82
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 $650.16 / $929.84 / $1,796.76	Professional		$650.16	$929.84	$1,796.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $999.60 / $999.60 / $999.60	Facility		$999.60	$999.60	$999.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $842.86 / $1,151.71	Facility		$640.00	$842.86	$1,151.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.79 / $1,104.06 / $1,862.60	Professional		$662.79	$1,104.06	$1,862.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.74 / $991.74 / $2,048.62	Professional		$822.74	$991.74	$2,048.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,100.00 / $5,352.00	Facility		$1,162.00	$3,100.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.08 / $994.11 / $1,861.25	Professional		$681.08	$994.11	$1,861.25