Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.47 / $4,592.00 / $9,488.00	Facility		$676.47	$4,592.00	$9,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.40 / $692.17 / $1,513.61	Professional		$543.40	$692.17	$1,513.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,186.06 / $3,143.25 / $5,292.58	Facility		$1,186.06	$3,143.25	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.05 / $844.65 / $1,422.38	Professional		$523.05	$844.65	$1,422.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,093.63 / $1,093.63 / $1,093.63	Facility		$1,093.63	$1,093.63	$1,093.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $902.78 / $2,951.82	Facility		$902.78	$902.78	$2,951.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.90 / $1,015.38 / $1,611.92	Professional		$657.90	$1,015.38	$1,611.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.37 / $887.88 / $1,845.04	Professional		$624.37	$887.88	$1,845.04
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 $609.61 / $1,002.00 / $1,522.54	Professional		$609.61	$1,002.00	$1,522.54