Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.87 / $4,817.00 / $6,915.00	Facility		$646.87	$4,817.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.06 / $501.21 / $1,087.49	Professional		$403.06	$501.21	$1,087.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.80 / $631.82 / $1,143.75	Professional		$409.80	$631.82	$1,143.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $735.25 / $735.25 / $735.25	Facility		$735.25	$735.25	$735.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.45 / $501.45 / $1,918.46	Facility		$501.45	$501.45	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.66 / $718.21 / $1,133.74	Professional		$425.66	$718.21	$1,133.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.31 / $726.88 / $1,080.10	Professional		$479.31	$726.88	$1,080.10
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 $381.92 / $614.90 / $991.58	Professional		$381.92	$614.90	$991.58