Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.17 / $5,063.00 / $7,391.00	Facility		$867.17	$5,063.00	$7,391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.93 / $539.23 / $1,515.25	Professional		$453.93	$539.23	$1,515.25
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 $483.99 / $746.67 / $1,310.77	Professional		$483.99	$746.67	$1,310.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $835.33 / $835.33 / $835.33	Facility		$835.33	$835.33	$835.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.83 / $559.83 / $5,163.68	Facility		$559.83	$559.83	$5,163.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.24 / $857.89 / $1,322.63	Professional		$564.24	$857.89	$1,322.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.99 / $826.55 / $1,958.39	Professional		$537.99	$826.55	$1,958.39
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 $475.25 / $755.24 / $1,146.40	Professional		$475.25	$755.24	$1,146.40