Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,391.00 / $6,915.00	Facility		$632.00	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.62 / $441.12 / $1,167.95	Professional		$365.62	$441.12	$1,167.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.02 / $569.77 / $1,052.94	Professional		$385.02	$569.77	$1,052.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $692.93 / $845.42 / $1,150.02	Facility		$692.93	$845.42	$1,150.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $460.80 / $1,918.46	Facility		$460.80	$460.80	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.55 / $648.05 / $1,064.00	Professional		$392.55	$648.05	$1,064.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.49 / $676.71 / $1,672.18	Professional		$441.49	$676.71	$1,672.18
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 $356.15 / $544.00 / $919.47	Professional		$356.15	$544.00	$919.47