Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.26 / $4,592.00 / $6,915.00	Facility		$691.26	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.13 / $691.26 / $1,439.92	Professional		$559.13	$691.26	$1,439.92
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 $536.79 / $822.21 / $1,459.75	Professional		$536.79	$822.21	$1,459.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.56 / $973.56 / $973.56	Facility		$973.56	$973.56	$973.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.23 / $910.23 / $1,918.46	Facility		$910.23	$910.23	$1,918.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.59 / $977.21 / $1,637.64	Professional		$591.59	$977.21	$1,637.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.88 / $901.21 / $1,571.28	Professional		$633.88	$901.21	$1,571.28
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 $621.77 / $963.34 / $1,612.97	Professional		$621.77	$963.34	$1,612.97