Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.46 / $5,063.00 / $6,915.00	Facility		$966.46	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.65 / $553.05 / $1,207.14	Professional		$469.65	$553.05	$1,207.14
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 $519.65 / $742.94 / $1,387.82	Professional		$519.65	$742.94	$1,387.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $905.87 / $1,095.63 / $1,490.37	Facility		$905.87	$1,095.63	$1,490.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $4,013.65	Facility		$594.91	$594.91	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.95 / $837.60 / $1,328.47	Professional		$542.95	$837.60	$1,328.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.14 / $851.29 / $1,404.49	Professional		$572.14	$851.29	$1,404.49
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 $449.10 / $700.80 / $1,186.80	Professional		$449.10	$700.80	$1,186.80