Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.86 / $4,592.00 / $6,915.00	Facility		$809.86	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.41 / $774.81 / $1,485.22	Professional		$608.41	$774.81	$1,485.22
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 $619.19 / $882.46 / $1,619.94	Professional		$619.19	$882.46	$1,619.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $959.46 / $959.46 / $959.46	Facility		$959.46	$959.46	$959.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.41 / $1,048.86 / $1,200.00	Facility		$904.41	$1,048.86	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.79 / $1,041.28 / $1,804.91	Professional		$631.79	$1,041.28	$1,804.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.48 / $1,037.30 / $1,852.86	Professional		$747.48	$1,037.30	$1,852.86
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 $622.17 / $953.80 / $1,697.66	Professional		$622.17	$953.80	$1,697.66