Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.95 / $3,295.00 / $6,915.00	Facility		$613.95	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.13 / $678.16 / $1,057.56	Professional		$413.13	$678.16	$1,057.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.13 / $598.26 / $1,114.55	Professional		$380.13	$598.26	$1,114.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $889.77 / $889.77 / $889.77	Facility		$889.77	$889.77	$889.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.83 / $724.83 / $5,139.78	Facility		$724.83	$724.83	$5,139.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.96 / $742.65 / $1,423.67	Professional		$388.96	$742.65	$1,423.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $831.60 / $1,717.84	Professional		$517.00	$831.60	$1,717.84
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 $579.86 / $869.80 / $1,724.95	Professional		$579.86	$869.80	$1,724.95