Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.88 / $5,045.00 / $6,915.00	Facility		$834.88	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $625.54 / $1,317.45	Professional		$516.91	$625.54	$1,317.45
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 $557.88 / $815.01 / $1,506.16	Professional		$557.88	$815.01	$1,506.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,008.59 / $1,186.56 / $1,663.53	Facility		$1,008.59	$1,186.56	$1,663.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $662.14 / $4,013.65	Facility		$662.14	$662.14	$4,013.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.79 / $888.73 / $1,480.84	Professional		$576.79	$888.73	$1,480.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.63 / $900.34 / $1,607.21	Professional		$638.63	$900.34	$1,607.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.21 / $759.45 / $1,315.23	Professional		$497.21	$759.45	$1,315.23