Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.38 / $5,063.00 / $7,391.00	Facility		$912.38	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.74 / $578.98 / $1,188.78	Professional		$481.74	$578.98	$1,188.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $3,851.83 / $8,545.91	Facility		$1,240.00	$3,851.83	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.26 / $774.73 / $1,375.83	Professional		$524.26	$774.73	$1,375.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $905.14 / $905.14 / $905.14	Facility		$905.14	$905.14	$905.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.48 / $602.48 / $4,013.65	Facility		$602.48	$602.48	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.55 / $880.26 / $1,373.12	Professional		$573.55	$880.26	$1,373.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.69 / $880.40 / $1,312.59	Professional		$576.69	$880.40	$1,312.59
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 $491.12 / $760.75 / $1,201.42	Professional		$491.12	$760.75	$1,201.42