Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.34 / $3,043.00 / $6,915.00	Facility		$433.34	$3,043.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $409.20 / $731.83	Professional		$277.81	$409.20	$731.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $423.13 / $773.44	Professional		$300.95	$423.13	$773.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $563.79 / $563.79	Facility		$563.79	$563.79	$563.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.71 / $507.71 / $1,918.46	Facility		$507.71	$507.71	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.08 / $501.46 / $884.50	Professional		$310.08	$501.46	$884.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.23 / $508.00 / $1,010.32	Professional		$360.23	$508.00	$1,010.32
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 $354.54 / $527.49 / $936.58	Professional		$354.54	$527.49	$936.58