Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.20 / $4,592.00 / $6,915.00	Facility		$624.20	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $594.12 / $1,130.19	Professional		$461.36	$594.12	$1,130.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.79 / $2,260.19 / $3,862.88	Facility		$822.79	$2,260.19	$3,862.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.69 / $661.72 / $1,214.73	Professional		$466.69	$661.72	$1,214.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $703.61 / $703.61 / $703.61	Facility		$703.61	$703.61	$703.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.64 / $782.18 / $1,000.00	Facility		$375.64	$782.18	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.86 / $780.82 / $1,363.27	Professional		$475.86	$780.82	$1,363.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $773.24 / $1,420.43	Professional		$558.45	$773.24	$1,420.43
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.21 / $717.18 / $1,311.27	Professional		$489.21	$717.18	$1,311.27