Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.22 / $5,063.00 / $9,488.00	Facility		$709.22	$5,063.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.73 / $674.74 / $1,241.58	Professional		$488.73	$674.74	$1,241.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,412.76 / $8,545.91	Facility		$1,540.00	$4,412.76	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $738.92 / $1,304.95	Professional		$504.39	$738.92	$1,304.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $941.89 / $941.89 / $941.89	Facility		$941.89	$941.89	$941.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.97 / $838.97 / $4,013.65	Facility		$838.97	$838.97	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.39 / $871.96 / $1,470.52	Professional		$542.39	$871.96	$1,470.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.15 / $837.92 / $1,597.72	Professional		$598.15	$837.92	$1,597.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.35 / $850.16 / $1,462.93	Professional		$563.35	$850.16	$1,462.93