Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.71 / $5,978.00 / $9,512.00	Facility		$751.71	$5,978.00	$9,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.01 / $751.71 / $1,601.14	Professional		$539.01	$751.71	$1,601.14
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 $568.10 / $804.96 / $1,469.81	Professional		$568.10	$804.96	$1,469.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,045.09 / $1,045.09 / $1,045.09	Facility		$1,045.09	$1,045.09	$1,045.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $961.16 / $961.16 / $4,013.65	Facility		$961.16	$961.16	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.61 / $952.82 / $1,648.82	Professional		$641.61	$952.82	$1,648.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.38 / $952.57 / $1,788.10	Professional		$676.38	$952.57	$1,788.10
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $967.82 / $1,653.01	Professional		$634.54	$967.82	$1,653.01